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General NPI Number Information
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NPI Number | 1053113183
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Entity Type | Organization
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Legal Business Name | CAMELLIA CARE
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2048 FRONT ST
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City | SLIDELL
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State | LA
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Zip | 70458-3436
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Country | US
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Telephone | 985-503-8586
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Fax | 985-326-7484
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Provider Business Mailing Address
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Address Line | 90 CHAMALE CV
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City | SLIDELL
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State | LA
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Zip | 70460-2576
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Country | US
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Telephone | 985-640-0380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ERICA WILLIAMS
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Credential | MHA
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Telephone | 985-640-0380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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