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General NPI Number Information
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NPI Number | 1750017810
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Entity Type | Organization
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Legal Business Name | CTSH CDA LLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 201 E 4TH AVE STE D
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City | POST FALLS
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State | ID
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Zip | 83854-7518
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Country | US
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Telephone | 509-340-3545
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Fax |
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Provider Business Mailing Address
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Address Line | 12810 E NORA AVE STE A
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1045
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JAYNE FRASER
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Credential |
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Telephone | 509-340-3545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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