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General NPI Number Information
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NPI Number | 1336274158
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Entity Type | Organization
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Legal Business Name | CARE SERVICES OF NW LOUISIANA, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3018 OLD MINDEN RD SUITE 1201
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2446
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Country | US
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Telephone | 318-742-8380
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Fax | 318-741-3645
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Provider Business Mailing Address
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Address Line | 3018 OLD MINDEN RD SUITE 1201
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2446
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Country | US
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Telephone | 318-742-8380
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Fax | 318-741-3645
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Authorized Official
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Title or Position | OWNER
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Name | CYNTHIA WATSON
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Credential |
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Telephone | 318-742-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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