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General NPI Number Information
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NPI Number | 1952423345
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Entity Type | Organization
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Legal Business Name | WASHINGTON PARISH HOME MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2781 S COLUMBIA RD
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City | BOGALUSA
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State | LA
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Zip | 70427-7961
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Country | US
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Telephone | 985-732-9219
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 LAKEWOOD DR SUITE A
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City | SLIDELL
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State | LA
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Zip | 70458-3173
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Country | US
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Telephone | 985-732-9219
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. JEFFREY D MOYLE
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Credential |
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Telephone | 985-649-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 3658762001
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License Number State | LA
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