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General NPI Number Information
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NPI Number | 1265627855
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Entity Type | Organization
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Legal Business Name | PRIDE AND HOPE MINISTRY FAMILY SUPPORT
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 30208 HIGHWAY 21
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City | ANGIE
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State | LA
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Zip | 70426-4360
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Country | US
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Telephone | 985-732-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 25502 HWY 21
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City | ANGIE
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State | LA
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Zip | 70426
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Country | US
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Telephone | 985-732-9494
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Fax |
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Authorized Official
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Title or Position | PAYROLL/BILLING ADMINISTRATOR
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Name | MRS. BEVERLY TRENACY KELLY
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Credential |
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Telephone | 985-732-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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