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General NPI Number Information
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NPI Number | 1659789451
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Entity Type | Organization
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Legal Business Name | LCD HOLDINGS LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 8834 E 34 RD # 201
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City | CADILLAC
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State | MI
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Zip | 49601-9580
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Country | US
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Telephone | 231-942-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 8834 E 34 RD # 201
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City | CADILLAC
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State | MI
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Zip | 49601-9580
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Country | US
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Telephone | 231-942-2730
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LUCAS CHARLES DENT
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Credential |
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Telephone | 231-942-2760
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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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