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General NPI Number Information
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NPI Number | 1528480605
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Entity Type | Organization
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Legal Business Name | CAYDEE BLUE CORP
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Dates
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Enumeration Date | 01/09/2014
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1148 W. PIONEER PKWY SUITE D
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City | ARLINGTON
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State | TX
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Zip | 76013-6385
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Country | US
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Telephone | 682-410-0013
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Fax | 682-410-0123
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Provider Business Mailing Address
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Address Line | 1148 W. PIONEER PKWY SUITE D
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City | ARLINGTON
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State | TX
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Zip | 76013-6385
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Country | US
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Telephone | 682-410-0013
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Fax | 682-410-0123
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Authorized Official
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Title or Position | OWNER
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Name | MR. GREG E CARSON
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Credential |
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Telephone | 682-410-0013
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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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