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General NPI Number Information
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NPI Number | 1932375433
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Entity Type | Organization
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Legal Business Name | M.FLASCH HOMEBOUND ASSISTANCE, INC
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 5713 SUPERIOR DR STE. B5
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City | BATON ROUGE
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State | LA
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Zip | 70816-8015
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Country | US
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Telephone | 225-293-9797
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Fax | 225-293-9799
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Provider Business Mailing Address
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Address Line | 5713 SUPERIOR DR STE. B5
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City | BATON ROUGE
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State | LA
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Zip | 70816-8015
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Country | US
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Telephone | 225-293-9797
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Fax | 225-293-9799
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY FLASCH
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Credential | BS, MPA
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Telephone | 225-293-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1032301
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License Number State | LA
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