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General NPI Number Information
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NPI Number | 1558463752
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Entity Type | Organization
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Legal Business Name | HOSPICE CARE OF LOUISIANA, LLC
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 3212 INDUSTRIAL STREET
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3511
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Country | US
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Telephone | 318-442-5002
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Fax | 318-442-5009
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Provider Business Mailing Address
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Address Line | 12 CADILLAC DRIVE SUITE 360
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City | BRENTWOOD
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State | TN
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Zip | 37027-5272
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Country | US
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Telephone | 615-425-5407
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Fax | 615-373-4457
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Authorized Official
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Title or Position | CFO
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Name | MR. ANTHONY JAMES
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Credential |
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Telephone | 615-425-5418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 119
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License Number State | LA
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