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General NPI Number Information
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NPI Number | 1316339898
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Entity Type | Organization
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Legal Business Name | ETERNAL BLESSINGS
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 6603 HIGHWAY 34
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City | CHATHAM
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State | LA
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Zip | 71226-9326
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Country | US
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Telephone | 318-249-4562
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Fax | 318-249-4460
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Provider Business Mailing Address
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Address Line | 6603 HIGHWAY 34
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City | CHATHAM
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State | LA
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Zip | 71226-9326
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Country | US
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Telephone | 318-249-4562
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Fax | 318-249-4460
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAMES CAMPBELL
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Credential |
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Telephone | 318-475-9826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 9807
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License Number State | LA
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