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General NPI Number Information
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NPI Number | 1962525493
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Entity Type | Organization
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Legal Business Name | FLORIDA PARISHES RESOURCES FOR INDEPENDENT LIVING, LLC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 407 AUSTIN ST
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City | BOGALUSA
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State | LA
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Zip | 70427-3819
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Country | US
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Telephone | 985-735-1800
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Fax | 985-735-1900
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Provider Business Mailing Address
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Address Line | 407 AUSTIN ST
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City | BOGALUSA
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State | LA
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Zip | 70427-3819
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Country | US
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Telephone | 985-735-1800
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Fax | 985-735-1900
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MICHAEL W. DANIEL
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Credential |
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Telephone | 985-735-1800
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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 | 1173436
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License Number State | LA
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