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NPI 1235911082

NPI 1235911082 : LA FAYE PERSONAL CARE : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1235911082
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    Entity Type          |    Organization 
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    Legal Business Name  |    LA FAYE PERSONAL CARE 
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Dates
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    Enumeration Date     |    10/17/2023
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    Last Update Date     |    10/17/2023
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Provider Practice Location Address
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    Address Line         |    2523 LAUREL ST 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70802-3140
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    Country              |    US
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    Telephone            |    225-220-6490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2523 LAUREL ST 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70802-3140
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    Country              |    US
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    Telephone            |    225-220-6490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MISS YVETTE  LAFAYETTE 
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    Credential           |    
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    Telephone            |    122-522-0649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    177F00000X
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    Taxonomy Name        |    Lodging Provider
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    License Number       |    
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    License Number State |    
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