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General NPI Number Information
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NPI Number | 1417079476
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Entity Type | Organization
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Legal Business Name | PCA NURSING SERVICES OF BATON ROUGE
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 1779 GOVERNMENT ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-4057
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Country | US
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Telephone | 225-346-4000
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Fax | 225-346-4004
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Provider Business Mailing Address
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Address Line | 1779 GOVERNMENT ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-4057
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT W TUCKER SR.
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Credential |
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Telephone | 225-346-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 12206
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License Number State | LA
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