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General NPI Number Information
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NPI Number | 1538394739
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Entity Type | Organization
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Legal Business Name | LOVING ARMS, LLC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 4110 GREENWOOD RD STE B
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City | SHREVEPORT
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State | LA
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Zip | 71109-6400
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Country | US
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Telephone | 318-636-7988
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Fax | 318-402-4743
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Provider Business Mailing Address
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Address Line | 4110 GREENWOOD ROAD STE B
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City | SHREVEPORT
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State | LA
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Zip | 71109
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Country | US
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Telephone | 318-636-7988
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Fax | 318-402-4743
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MILDRED F RIVERS
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Credential |
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Telephone | 318-636-7988
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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 |
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License Number State | LA
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