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General NPI Number Information
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NPI Number | 1891112629
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Entity Type | Organization
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Legal Business Name | LA COMPREHENSIVE HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 3654 GOVERNMENT ST STE 7
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City | ALEXANDRIA
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State | LA
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Zip | 71302-3324
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Country | US
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Telephone | 318-528-8856
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Fax |
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Provider Business Mailing Address
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Address Line | 3654 GOVERNMENT ST STE 7
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City | ALEXANDRIA
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State | LA
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Zip | 71302-3324
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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 | OPERATIONAL MANAGER
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Name | MRS. IRIS NYREE JONES
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Credential |
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Telephone | 318-528-8856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 291688
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License Number State | LA
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