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General NPI Number Information
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NPI Number | 1427515758
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Entity Type | Organization
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Legal Business Name | LHCG CXLII LLC
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 873 CLARE LN
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City | YORK
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State | PA
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Zip | 17402-4317
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Country | US
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Telephone | 717-650-2778
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Fax | 717-650-2787
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | NICHOLAS GACHASSIN III
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Credential |
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Telephone | 337-233-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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