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NPI 1699080879

NPI 1699080879 : COMMUNITY ADVOCATES, LLC : HUSSER, LA

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General NPI Number Information
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    NPI Number           |    1699080879
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMUNITY ADVOCATES, LLC 
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Dates
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    Enumeration Date     |    08/12/2010
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    Last Update Date     |    08/12/2010
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Provider Practice Location Address
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    Address Line         |    57377 HIGHWAY 445 
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    City                 |    HUSSER
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    State                |    LA
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    Zip                  |    70442
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    Country              |    US
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    Telephone            |    985-634-6986
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 29 
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    City                 |    HUSSER
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    State                |    LA
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    Zip                  |    70442-0029
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    Country              |    US
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    Telephone            |    985-634-6986
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROJECT MANAGER/OWNER
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    Name                 |    MRS. ASHLEY S. VITRANO 
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    Credential           |    
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    Telephone            |    985-634-6986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    LA
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