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General NPI Number Information
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NPI Number | 1679072847
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Entity Type | Organization
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Legal Business Name | INNER QUALITY SERVICES
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1318 HIGHWAY 171
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City | STONEWALL
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State | LA
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Zip | 71078-9403
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Country | US
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Telephone | 318-906-5054
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Fax | 318-906-5057
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Provider Business Mailing Address
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Address Line | 1318 HIGHWAY 171
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City | STONEWALL
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State | LA
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Zip | 71078-9403
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Country | US
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Telephone | 318-906-5054
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Fax | 318-906-5057
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Authorized Official
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Title or Position | OWNER
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Name | TANESHA WILLIAMS HALL
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Credential |
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Telephone | 318-906-5054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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