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General NPI Number Information
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NPI Number | 1366440695
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Entity Type | Organization
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Legal Business Name | BEST BUY HOMECARE OF LOUISIANA, INC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3426 GEORGIA ST
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City | LOUISIANA
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State | MO
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Zip | 63353-2743
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Country | US
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Telephone | 573-754-4527
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Fax | 573-754-4529
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Provider Business Mailing Address
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Address Line | 3426 GEORGIA ST
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City | LOUISIANA
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State | MO
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Zip | 63353-2743
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Country | US
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Telephone | 573-754-4527
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Fax | 573-754-4529
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | PAUL S MCKENNA
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Credential |
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Telephone | 573-754-4527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | MO
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