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General NPI Number Information
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NPI Number | 1487625455
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 802 BROADWAY ST
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City | MINDEN
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State | LA
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Zip | 71055-3309
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Country | US
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Telephone | 318-377-4663
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Fax | 318-377-4699
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Provider Business Mailing Address
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Address Line | 802 BROADWAY ST
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City | MINDEN
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State | LA
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Zip | 71055-3309
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Country | US
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Telephone | 318-377-4663
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Fax | 318-377-4699
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KATIE BENNETT
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Credential |
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Telephone | 318-516-2270
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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 | 263
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License Number State | LA
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