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General NPI Number Information
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NPI Number | 1477646180
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Entity Type | Individual
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Provider Name | FORREST O'NEAL RN
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4780 SOUTH GRAND STREET
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City | MONROE
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State | LA
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Zip | 71202
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Country | US
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Telephone | 318-362-5430
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Fax |
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Provider Business Mailing Address
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Address Line | 516 SPENCER STREET APT.3
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City | RAYVILLE
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State | LA
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Zip | 71269
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Country | US
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Telephone | 318-245-1185
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RN065624
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License Number State | LA
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