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General NPI Number Information
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NPI Number | 1528808953
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Entity Type | Organization
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Legal Business Name | CDF HEALTHCARE-CENLA, INCORPORATED
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 210 LAUREL ST
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City | PINEVILLE
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State | LA
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Zip | 71360-4662
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Country | US
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Telephone | 318-619-4040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11650
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City | ALEXANDRIA
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State | LA
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Zip | 71315-1650
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Country | US
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Telephone | 318-308-5333
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | ED G MURY
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Credential |
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Telephone | 337-704-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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