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General NPI Number Information
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NPI Number | 1225322381
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Entity Type | Organization
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Legal Business Name | CENTRAL LOUISIANA AIDS SUPPORT SERVICES INC
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1785 JACKSON ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6433
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Country | US
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Telephone | 318-442-1010
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Fax | 318-443-5216
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Provider Business Mailing Address
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Address Line | 1785 JACKSON ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6433
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Country | US
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Telephone | 318-442-1010
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Fax | 318-443-5216
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS ANN E LOWREY
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Credential |
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Telephone | 318-442-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CM0006530
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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