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General NPI Number Information
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NPI Number | 1326206251
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Entity Type | Organization
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Legal Business Name | L A HOMECARE 1 INC
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 15636 HWY 1064
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City | NATALBANY
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State | LA
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Zip | 70451
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Country | US
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Telephone | 985-878-2273
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Fax | 985-878-9534
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Provider Business Mailing Address
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Address Line | PO BOX 1647
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City | NATALBANY
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State | LA
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Zip | 70451-1647
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Country | US
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Telephone | 985-878-2273
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Fax | 985-878-9534
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Authorized Official
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Title or Position | ADMINISRTATOR
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Name | MR. BASIEL WILLIAMS
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Credential |
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Telephone | 985-320-0779
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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 | 1633232
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License Number State | LA
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