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General NPI Number Information
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NPI Number | 1962729962
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Entity Type | Organization
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Legal Business Name | OLGA LOVINIA ANTOINE
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 133 COOKIE LN
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City | LAKE CHARLES
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State | LA
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Zip | 70615-3003
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Country | US
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Telephone | 337-794-8448
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Fax |
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Provider Business Mailing Address
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Address Line | 133 COOKIE LN
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City | LAKE CHARLES
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State | LA
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Zip | 70615-3003
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Country | US
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Telephone | 337-794-8448
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | FRANCIS ROY ANTOINE
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Credential |
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Telephone | 337-660-7959
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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 |
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License Number State | LA
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