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General NPI Number Information
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NPI Number | 1306055124
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Entity Type | Organization
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Legal Business Name | PEOPLE FIRST OUTREACH INC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 12/18/2017
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Provider Practice Location Address
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Address Line | 820 JORDAN ST STE 215
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City | SHREVEPORT
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State | LA
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Zip | 71101-4519
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Country | US
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Telephone | 318-681-9988
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Fax | 318-681-9928
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Provider Business Mailing Address
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Address Line | 820 JORDAN ST STE 215
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City | SHREVEPORT
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State | LA
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Zip | 71101-4519
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Country | US
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Telephone | 318-681-9988
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Fax | 318-681-9928
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ROBINETT WEBB
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Credential |
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Telephone | 318-681-9988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number | 9633 SIL
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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