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General NPI Number Information
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NPI Number | 1265141345
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Entity Type | Organization
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Legal Business Name | BECAUSE WE CARE SOUTHWEST LOUISIANA FOUNDATION
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 4029 AVENUE G
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City | LAKE CHARLES
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State | LA
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Zip | 70615-5175
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Country | US
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Telephone | 713-501-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 100 AVENUE J
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City | LAKE CHARLES
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State | LA
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Zip | 70615-5056
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Country | US
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Telephone | 337-436-3838
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. RACHAEL LEONARDS
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Credential |
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Telephone | 713-501-0377
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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 |
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License Number State |
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