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General NPI Number Information
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NPI Number | 1275085805
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICES UNLIMITED
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 3225 PINES RD
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City | SHREVEPORT
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State | LA
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Zip | 71119-3507
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Country | US
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Telephone | 318-990-9959
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 PINES RD
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City | SHREVEPORT
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State | LA
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Zip | 71119-3507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MHS
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Name | KEVIN JONES
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Credential |
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Telephone | 318-990-9959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 008563274
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License Number State | LA
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