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General NPI Number Information
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NPI Number | 1699132738
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Entity Type | Organization
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Legal Business Name | VOCATIONAL SOLUTIONS HEALTHCARE MANAGEMENT
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 1651 E 70TH ST # PMB274
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City | SHREVEPORT
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State | LA
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Zip | 71105-5115
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Country | US
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Telephone | 318-230-3285
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Fax | 318-925-1748
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Provider Business Mailing Address
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Address Line | 1651 E 70TH ST # PMB274
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City | SHREVEPORT
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State | LA
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Zip | 71105-5115
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Country | US
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Telephone | 318-230-3285
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Fax | 318-925-1748
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Authorized Official
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Title or Position | CEO
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Name | PHUNDA YARBROUGH
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Credential | LRC
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Telephone | 318-230-3285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 646
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License Number State | LA
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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 | 646
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License Number State | LA
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