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General NPI Number Information
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NPI Number | 1629281613
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Entity Type | Organization
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Legal Business Name | LOVING TOUCH PERSONAL CARE SERVICE, INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 1512 RAILROAD ST
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City | LAKE PROVIDENCE
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State | LA
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Zip | 71254-3630
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Country | US
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Telephone | 318-559-0018
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Fax | 318-559-3818
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Provider Business Mailing Address
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Address Line | 1512 RAILROAD ST
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City | LAKE PROVIDENCE
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State | LA
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Zip | 71254-3630
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Country | US
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Telephone | 318-559-0018
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Fax | 318-559-3818
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TILLNICE NEWSON
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Credential | OWNER
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Telephone | 318-559-0018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | SIL 7208
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License Number State | LA
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