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NPI 1649496662

NPI 1649496662 : METROPOLITAN CIRCLES, LLC : SHREVEPORT, LA

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General NPI Number Information
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    NPI Number           |    1649496662
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    Entity Type          |    Organization 
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    Legal Business Name  |    METROPOLITAN CIRCLES, LLC 
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Dates
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    Enumeration Date     |    04/18/2007
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    Last Update Date     |    05/05/2025
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Provider Practice Location Address
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    Address Line         |    3510 LINWOOD AVE 
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71103-4512
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    Country              |    US
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    Telephone            |    318-636-4194
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    Fax                  |    318-636-4196
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Provider Business Mailing Address
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    Address Line         |    3510 LINWOOD AVE 
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71103-4512
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    Country              |    US
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    Telephone            |    318-636-4194
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    Fax                  |    318-636-4196
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. JAMES E. THROWER JR.
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    Credential           |    LCSW
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    Telephone            |    318-636-4194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    1461954
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    311Z00000X
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    Taxonomy Name        |    Custodial Care Facility
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    License Number       |    8267
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    License Number State |    LA
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