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General NPI Number Information
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NPI Number | 1194868026
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Entity Type | Organization
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Legal Business Name | THE ARC OF OUACHITA
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 3101 MERCEDES DR
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City | MONROE
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State | LA
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Zip | 71201-5153
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Country | US
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Telephone | 318-387-7817
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Fax | 318-322-0914
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Provider Business Mailing Address
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Address Line | P.O. BOX 1462 901 NORTH 4TH STREET
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City | MONROE
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State | LA
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Zip | 71210
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Country | US
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Telephone | 318-387-7817
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Fax | 318-322-0914
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Authorized Official
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Title or Position | LOGISTICS DIRECTOR
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Name | LORI DENISE GREGORY
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Credential |
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Telephone | 318-387-7817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 210289035
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License Number State | LA
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