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General NPI Number Information
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NPI Number | 1609227099
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Entity Type | Organization
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Legal Business Name | TOP OF THE LINE HOME CARE SERVICES
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 06/27/2016
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Provider Practice Location Address
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Address Line | 9631 AMBLEWOOD LN SAME
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City | SHREVEPORT
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State | LA
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Zip | 71118-5021
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Country | US
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Telephone | 318-294-1429
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Fax | 318-216-3947
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Provider Business Mailing Address
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Address Line | 3815 VELVA AVE SAME
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City | SHREVEPORT
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State | LA
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Zip | 71109-5837
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Country | US
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Telephone | 318-294-1429
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Fax | 318-216-3947
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Authorized Official
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Title or Position | MANAGER
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Name | MARIE S STILLS
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Credential | LPN
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Telephone | 318-294-1429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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