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General NPI Number Information
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NPI Number | 1245432418
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Entity Type | Organization
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Legal Business Name | ACADIANA HOME CARE SOLUTIONS
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 714 E KALISTE SALOOM RD SUITE C1
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City | LAFAYETTE
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State | LA
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Zip | 70508-2531
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Country | US
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Telephone | 337-261-9160
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Fax | 337-261-9161
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Provider Business Mailing Address
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Address Line | 714 E KALISTE SALOOM RD SUITE C1
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City | LAFAYETTE
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State | LA
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Zip | 70508-2531
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Country | US
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Telephone | 337-261-9160
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Fax | 337-261-9161
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. SUSANNE M MALHIET-FONTENOT
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Credential |
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Telephone | 337-261-9160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | SIL7083
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License Number State | LA
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