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General NPI Number Information
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NPI Number | 1568725620
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Entity Type | Organization
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Legal Business Name | YOUREE ASSOCIATES INC
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 5506 CAMELOT DR
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City | SHREVEPORT
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State | LA
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Zip | 71107-9558
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Country | US
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Telephone | 318-629-1588
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Fax | 318-629-1589
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Provider Business Mailing Address
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Address Line | 5506 CAMELOT DR
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City | SHREVEPORT
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State | LA
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Zip | 71107-9558
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Country | US
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Telephone | 318-629-1588
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Fax | 318-629-1589
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Authorized Official
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Title or Position | ADVANCE PRACTICE
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Name | MRS. PAMELA P. PATTON
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Credential | F.N.P.
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Telephone | 318-629-1588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | AP01383
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License Number State | LA
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