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General NPI Number Information
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NPI Number | 1437976792
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Entity Type | Organization
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Legal Business Name | COMPLETE INTEGRATED HEALTHCARE LLC
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 308 MAIN ST STE B
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City | CROSSETT
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State | AR
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Zip | 71635-2928
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Country | US
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Telephone | 870-304-2071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | CROSSETT
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State | AR
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Zip | 71635-0056
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Country | US
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Telephone | 870-304-2071
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | ERICA DOWNS
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Credential |
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Telephone | 870-310-6726
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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