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General NPI Number Information
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NPI Number | 1730534041
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Entity Type | Organization
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Legal Business Name | NORTH DELTA HOME CARE LLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 1900 LAMY LN SUITE H
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City | MONROE
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State | LA
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Zip | 71201-9207
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Country | US
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Telephone | 318-570-5230
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Fax | 318-570-5225
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Provider Business Mailing Address
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Address Line | 1900 LAMY LN SUITE H
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City | MONROE
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State | LA
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Zip | 71201-9207
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Country | US
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Telephone | 318-570-5230
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Fax | 318-570-5225
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MS. DIANE BINION
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Credential |
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Telephone | 318-570-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2203782714
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License Number State | LA
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