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General NPI Number Information
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NPI Number | 1831369420
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Entity Type | Organization
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Legal Business Name | LOVIN HANDS CARE SERVICE LLC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 5700 ROBERTS ST STE A
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City | SHREVEPORT
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State | LA
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Zip | 71109-7540
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Country | US
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Telephone | 318-742-0362
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 ROBERTS ST STE A
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City | SHREVEPORT
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State | LA
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Zip | 71109-7540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTONIO BERNARD NASH SR.
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Credential |
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Telephone | 318-742-0362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State | LA
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