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General NPI Number Information
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NPI Number | 1578854006
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Entity Type | Organization
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Legal Business Name | QUALITY CARE NURSING
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 740 FRED LOOP
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City | ALEXANDRIA
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State | LA
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Zip | 71302-5739
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Country | US
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Telephone | 318-290-0129
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Fax | 318-449-9906
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Provider Business Mailing Address
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Address Line | 740 FRED LOOP
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City | ALEXANDRIA
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State | LA
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Zip | 71302-5739
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Country | US
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Telephone | 318-290-0129
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Fax | 318-449-9906
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Authorized Official
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Title or Position | OWNER
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Name | MS. CATRICE BERAUD
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Credential |
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Telephone | 318-290-0129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 969901002009
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License Number State | LA
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