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General NPI Number Information
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NPI Number | 1396940433
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Entity Type | Organization
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Legal Business Name | RICHLAND ASSOCIATION FOR RETARDED CITIZENS
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 119 CHARTER ST SAME
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City | DELHI
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State | LA
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Zip | 71232-2105
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Country | US
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Telephone | 318-878-2508
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Fax | 318-878-9725
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Provider Business Mailing Address
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Address Line | 119 CHARTER ST SAME
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City | DELHI
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State | LA
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Zip | 71232-2105
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Country | US
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Telephone | 318-878-2508
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Fax | 318-878-9725
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS CISSIE P MCCORMICK
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Credential |
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Telephone | 318-878-2508
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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 | ADC 2238
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License Number State | LA
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