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General NPI Number Information
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NPI Number | 1841410966
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Entity Type | Organization
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Legal Business Name | ANGELS OF MERCY
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2948 HWY 112
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City | LECOMPTE
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State | LA
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Zip | 71346
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Country | US
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Telephone | 318-776-6443
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 720
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-0720
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Country | US
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Telephone | 337-857-0322
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER H HEBERT
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Credential |
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Telephone | 337-857-0322
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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 | 9134
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License Number State | LA
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