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General NPI Number Information
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NPI Number | 1740236157
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Entity Type | Organization
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Legal Business Name | COMMUNITY ASSISTANCE COUNCIL INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 85 IH-10 NORTH SUITE 215
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City | BEAUMONT
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State | TX
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Zip | 77707
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Country | US
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Telephone | 409-813-1154
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Fax | 409-813-1935
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Provider Business Mailing Address
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Address Line | 85 IH-10 NORTH SUITE 215
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City | BEAUMONT
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State | TX
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Zip | 77707
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Country | US
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Telephone | 409-813-1154
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Fax | 409-813-1935
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Authorized Official
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Title or Position | PRESIDENT CFO
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Name | MR. BARON KEITH BANKS
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Credential |
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Telephone | 409-813-1154
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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 | 008838
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License Number State | TX
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