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General NPI Number Information
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NPI Number | 1356668412
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Entity Type | Organization
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Legal Business Name | AFFINITY CARE PROVIDERS INC
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 837 N PINE ST
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City | GRAMERCY
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State | LA
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Zip | 70052-3659
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Country | US
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Telephone | 225-869-6005
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Fax | 225-869-6007
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | GRAMERCY
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State | LA
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Zip | 70052-0580
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Country | US
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Telephone | 225-869-6005
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Fax | 225-869-6007
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ROSE MARIE GORDON
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Credential | R.N.
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Telephone | 225-869-6005
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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 |
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License Number State |
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