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General NPI Number Information
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NPI Number | 1255595401
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Entity Type | Organization
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Legal Business Name | CREATIVE EFFECTIVE TECHNOLOGIES INC
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 370 RIVER RD
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City | ALEXANDRIA
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State | LA
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Zip | 71302-9606
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Country | US
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Telephone | 318-729-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 400 ADCOX RD
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City | RAEFORD
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State | NC
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Zip | 28376-6548
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Country | US
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Telephone | 910-904-1953
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ALTON MICHAEL CHESNE JR.
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Credential |
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Telephone | 318-729-1913
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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 | NC
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