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General NPI Number Information
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NPI Number | 1386405835
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE HOSPICE CARE OF NORTHWEST LOUISIANA LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1800 BUCKNER ST STE B220
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City | SHREVEPORT
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State | LA
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Zip | 71101-4453
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Country | US
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Telephone | 318-615-9181
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Fax | 318-615-9182
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Provider Business Mailing Address
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Address Line | 1800 BUCKNER ST STE B220
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City | SHREVEPORT
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State | LA
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Zip | 71101-4453
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Country | US
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Telephone | 318-615-9181
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Fax | 318-615-9182
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Authorized Official
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Title or Position | CEO
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Name | JOE MONSOUR
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Credential |
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Telephone | 318-250-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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