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General NPI Number Information
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NPI Number | 1588469951
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Entity Type | Organization
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Legal Business Name | COTTON CANDY & COMPANY LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 9100 WILSHIRE BLVD STE 333
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3405
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Country | US
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Telephone | 478-241-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 1474 TALIA WOOD CIR NW
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City | ATLANTA
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State | GA
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Zip | 30314-2078
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Country | US
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Telephone | 818-824-8770
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHATAVIA A CALLAWAY
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Credential |
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Telephone | 818-824-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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