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General NPI Number Information
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NPI Number | 1275185498
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Entity Type | Organization
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Legal Business Name | DDC SENIOR CARE LLC
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 8400A OCEAN SPRINGS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-4404
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Country | US
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Telephone | 228-334-5304
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Fax | 228-334-5246
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Provider Business Mailing Address
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Address Line | 11247 KARLI LN
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City | BILOXI
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State | MS
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Zip | 39532-8026
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Country | US
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Telephone | 228-334-5304
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Fax | 228-334-5246
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | CYNTHIA PICARD
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Credential |
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Telephone | 228-334-5304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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