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General NPI Number Information
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NPI Number | 1063882793
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Entity Type | Organization
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Legal Business Name | CSS OF HAMMOND LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 19184 DR JOHN LAMBERT DR STE. 104
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City | HAMMOND
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State | LA
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Zip | 70403-0936
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Country | US
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Telephone | 985-542-7150
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Fax | 985-542-7155
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Provider Business Mailing Address
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Address Line | 19184 DR JOHN LAMBERT DR STE. 104
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City | HAMMOND
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State | LA
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Zip | 70403-0936
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Country | US
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Telephone | 985-542-7150
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Fax | 985-542-7155
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Authorized Official
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Title or Position | OWNER
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Name | TERRY BRADLEY
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Credential |
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Telephone | 228-323-3382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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