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General NPI Number Information
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NPI Number | 1386004331
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Entity Type | Organization
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Legal Business Name | CRESCENT CARE/NO AIDS TASK FORCE
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 2601 TULANE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7462
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Country | US
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Telephone | 504-821-2601
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 TULANE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7462
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Country | US
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Telephone | 504-821-2601
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Fax |
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Authorized Official
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Title or Position | SOCIAL WOKER
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Name | ANDREW HANCOCK
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Credential | LMSW
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Telephone | 504-821-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 13526
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License Number State | LA
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