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General NPI Number Information
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NPI Number | 1275790933
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Entity Type | Organization
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Legal Business Name | L & C NURSING SERVICES, INC. PRIVATE DUTY
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 818 N UNIVERSITY DR STE 203
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4681
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Country | US
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Telephone | 936-569-9353
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Fax | 936-569-8250
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Provider Business Mailing Address
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Address Line | 818 N UNIVERSITY DR STE 203
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4681
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Country | US
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Telephone | 936-569-9353
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Fax | 936-569-8250
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. LOLA B. RUNNELS
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Credential | R. N.
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Telephone | 936-569-9353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003857
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License Number State | TX
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