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General NPI Number Information
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NPI Number | 1609274349
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Entity Type | Organization
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Legal Business Name | STEED CARE LLC
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Dates
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Enumeration Date | 12/11/2014
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 5131 MASONIC DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3366
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Country | US
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Telephone | 318-445-8343
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Fax | 318-445-8372
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Provider Business Mailing Address
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Address Line | 5131 MASONIC DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3366
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Country | US
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Telephone | 318-445-8343
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Fax | 318-445-8372
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | PATRICIA A SMALL
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Credential |
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Telephone | 318-445-8343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 456
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License Number State | LA
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