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General NPI Number Information
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NPI Number | 1942553813
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Entity Type | Organization
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Legal Business Name | RELAX & ENJOY ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 424 BENITA ST.
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City | MARKSVILLE
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State | LA
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Zip | 71351
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Country | US
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Telephone | 318-253-5868
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1172
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City | MARKSVILLE
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State | LA
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Zip | 71351-1172
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Country | US
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Telephone | 318-253-5868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VERA ANN ARIZA
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Credential | LPN
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Telephone | 318-253-5868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 210090
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License Number State | LA
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