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General NPI Number Information
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NPI Number | 1215156146
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Entity Type | Organization
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Legal Business Name | HARRIS PERSONAL CARE, LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9202 RUSTIC ACRES RD
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City | BASTROP
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State | LA
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Zip | 71220-7162
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Country | US
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Telephone | 318-283-7572
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1563
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City | BASTROP
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State | LA
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Zip | 71221-1563
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Country | US
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Telephone | 318-283-7572
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MINNIE J HARRIS
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Credential |
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Telephone | 318-283-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7477
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 7477
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License Number State | LA
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