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NPI 1225175938

NPI 1225175938 : L & L HOME CARE SERVICES, INC. : NACOGDOCHES, TX

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General NPI Number Information
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    NPI Number           |    1225175938
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    Entity Type          |    Organization 
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    Legal Business Name  |    L & L HOME CARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    01/31/2007
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    Last Update Date     |    03/17/2008
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Provider Practice Location Address
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    Address Line         |    2122 N STALLINGS DR 
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    City                 |    NACOGDOCHES
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    State                |    TX
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    Zip                  |    75964-1256
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    Country              |    US
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    Telephone            |    936-560-6525
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    Fax                  |    936-560-0819
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Provider Business Mailing Address
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    Address Line         |    2122 N STALLINGS DR 
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    City                 |    NACOGDOCHES
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    State                |    TX
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    Zip                  |    75964-1256
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    Country              |    US
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    Telephone            |    936-560-6525
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    Fax                  |    936-560-0819
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     KIMBERLY GAY LYONS 
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    Credential           |    
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    Telephone            |    936-560-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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