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General NPI Number Information
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NPI Number | 1306618087
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Entity Type | Organization
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Legal Business Name | CNG HOLDINGS, LLC.
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 1032 WASHINGTON BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3634
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Country | US
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Telephone | 570-244-2224
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Fax | 570-224-2211
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Provider Business Mailing Address
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Address Line | 1032 WASHINGTON BLVD
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3634
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Country | US
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Telephone | 570-244-2224
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Fax | 570-224-2211
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CHRISTOPHER WALDMAN
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Credential |
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Telephone | 570-244-2224
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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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