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NPI Code Detail

MEDICARE: MR. ANTHONY DUFF SR.

MEDICARE: MR. ANTHONY DUFF SR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide00295384LA

General Provider Information

NPI Number : 1073030250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY DUFF SR.
Provider Business Mailing Address
First Line : 333 TEXAS ST STE 1300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-3783
Country : US
Telephone Number : 318-618-0292
Fax Number :
Provider Business Practice Location Address
First Line : 333 TEXAS ST STE 1300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-3783
Country : US
Telephone Number : 318-618-0292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 07/21/2022

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Directions to “ MR. ANTHONY DUFF SR. ” Practice Location

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