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General NPI Number Information
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NPI Number | 1023239746
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Entity Type | Organization
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Legal Business Name | MAR-C INDUSTRIES
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 COMMERCE ST
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City | MINDEN
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State | LA
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Zip | 71055-3908
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Country | US
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Telephone | 318-377-4774
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Fax | 318-377-4799
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Provider Business Mailing Address
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Address Line | 1400 COMMERCE ST
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City | MINDEN
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State | LA
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Zip | 71055-3908
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Country | US
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Telephone | 318-377-4774
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Fax | 318-377-4799
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Authorized Official
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Title or Position | CONTROLLER ADMINISTRATOR
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Name | MS. LINDA J HARRIS
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Credential |
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Telephone | 318-377-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | ADC2322
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License Number State | LA
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