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General NPI Number Information
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NPI Number | 1477799237
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Entity Type | Organization
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Legal Business Name | SPECIAL TOUCH GROUP HOME, L.L.C.
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 3016 POSEY RD
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City | NATCHITOCHES
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State | LA
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Zip | 71457-6844
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Country | US
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Telephone | 318-354-1888
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Fax | 318-354-1889
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Provider Business Mailing Address
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Address Line | 837 3RD ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-4701
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Country | US
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Telephone | 318-354-1888
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Fax | 318-354-1889
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. BILLIE RAY HAYES
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Credential |
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Telephone | 318-472-3529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | LA
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