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NPI 1326394719

NPI 1326394719 : L & L HOSPICE OF LA, LLC. : FRANKLINTON, LA

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General NPI Number Information
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    NPI Number           |    1326394719
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    Entity Type          |    Organization 
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    Legal Business Name  |    L & L HOSPICE OF LA, LLC. 
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Dates
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    Enumeration Date     |    08/03/2012
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    Last Update Date     |    08/03/2012
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Provider Practice Location Address
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    Address Line         |    710 11TH AVE 
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    City                 |    FRANKLINTON
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    State                |    LA
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    Zip                  |    70438-1410
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    Country              |    US
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    Telephone            |    985-839-3726
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    Fax                  |    985-839-3728
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Provider Business Mailing Address
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    Address Line         |    710 11TH AVE 
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    City                 |    FRANKLINTON
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    State                |    LA
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    Zip                  |    70438-1410
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    Country              |    US
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    Telephone            |    985-839-3726
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    Fax                  |    985-839-3728
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Authorized Official
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    Title or Position    |    OWNER./VICE PRESIDENT
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    Name                 |     RUTHIE L LEWIS 
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    Credential           |    
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    Telephone            |    601-876-6169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    LA
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