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General NPI Number Information
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NPI Number | 1295671907
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Entity Type | Organization
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Legal Business Name | C&C HEALTHCARE AND WELLNESS
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 120 N JEFFERSON ST
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City | HARTFORD CITY
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State | IN
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Zip | 47348-2201
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Country | US
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Telephone | 765-499-1126
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Fax | 765-662-7090
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Provider Business Mailing Address
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Address Line | 120 N JEFFERSON ST
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City | HARTFORD CITY
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State | IN
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Zip | 47348-2201
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Country | US
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Telephone | 765-499-1126
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Fax |
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Authorized Official
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Title or Position | PROVIDER/PARTNER
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Name | MRS. CHERYL LYNN CARNES
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Credential | FNP
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Telephone | 765-215-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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