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NPI 1407069289

NPI 1407069289 : SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES : BUNKIE, LA

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General NPI Number Information
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    NPI Number           |    1407069289
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES 
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Dates
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    Enumeration Date     |    05/08/2007
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    Last Update Date     |    05/27/2008
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Provider Practice Location Address
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    Address Line         |    237 SW MAIN ST 
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    City                 |    BUNKIE
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    State                |    LA
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    Zip                  |    71322-1780
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    Country              |    US
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    Telephone            |    318-346-2540
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    Fax                  |    318-346-2546
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Provider Business Mailing Address
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    Address Line         |    POST OFFICE BOX 301 
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    City                 |    BUNKIE
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    State                |    LA
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    Zip                  |    71322
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    Country              |    US
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    Telephone            |    318-346-2540
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    Fax                  |    318-346-2546
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     DARLENE S ST. ROMAIN 
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    Credential           |    
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    Telephone            |    318-346-2540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    1458970
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    License Number State |    LA
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