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General NPI Number Information
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NPI Number | 1457756678
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Entity Type | Organization
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Legal Business Name | THE LOCKE GROUP INC DBA HOME INSTEAD
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 7600 FERN AVE STE 400
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City | SHREVEPORT
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State | LA
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Zip | 71105-5672
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Country | US
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Telephone | 318-741-9898
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Fax | 318-741-6986
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Provider Business Mailing Address
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Address Line | 7600 FERN AVE STE 400
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City | SHREVEPORT
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State | LA
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Zip | 71105-5672
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Country | US
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Telephone | 318-741-9898
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Fax | 318-741-6986
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PAIGE LOCKE
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Credential |
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Telephone | 318-741-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2203781012
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License Number State | LA
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