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General NPI Number Information
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NPI Number | 1366654964
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Entity Type | Organization
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Legal Business Name | LOUISIANA HUMAN CARE CONNECTION INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 14012 CAYUGA DRIVE
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City | BAKER
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State | LA
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Zip | 70714
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Country | US
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Telephone | 225-778-2477
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Fax | 225-774-3388
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Provider Business Mailing Address
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Address Line | P O BOX 1065
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City | BAKER
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State | LA
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Zip | 70704
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Country | US
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Telephone | 225-778-2477
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Fax | 225-774-3388
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ETTA E ALEXANDER
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Credential |
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Telephone | 225-778-2477
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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 | 1476676
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License Number State | LA
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