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General NPI Number Information
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NPI Number | 1346078193
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Entity Type | Organization
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Legal Business Name | LOUIS LEONARD MINSKY INC
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 405 LAKE ST
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City | LAKE PROVIDENCE
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State | LA
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Zip | 71254-2631
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Country | US
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Telephone | 318-559-2400
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Fax | 800-690-7903
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Provider Business Mailing Address
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Address Line | 405 LAKE ST
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City | LAKE PROVIDENCE
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State | LA
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Zip | 71254-2631
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Country | US
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Telephone | 318-559-2400
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Fax | 800-690-7903
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARY CATHERINE COON
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Credential |
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Telephone | 318-559-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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