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General NPI Number Information
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NPI Number | 1194219048
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Entity Type | Organization
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Legal Business Name | YOUTH AND FAMILY OUTREACH SERVICES NORTH LOUISIANA
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 6007 FINANCIAL PLZ
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City | SHREVEPORT
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State | LA
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Zip | 71129-2655
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Country | US
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Telephone | 318-545-4488
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Fax | 888-400-9758
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Provider Business Mailing Address
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Address Line | 7509 GOLDEN MEADOWS
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City | GREENWOOD
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State | LA
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Zip | 71033
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Country | US
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Telephone | 318-780-2452
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Fax | 888-400-9758
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | YOLUNDA EVETTE MCGEE
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Credential |
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Telephone | 318-780-2452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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