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General NPI Number Information
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NPI Number | 1780831479
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Entity Type | Organization
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Legal Business Name | CM HOMECARE
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 4726 HIGHWAY 107 S
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City | PLAUCHEVILLE
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State | LA
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Zip | 71362-2312
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Country | US
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Telephone | 318-447-4669
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Fax |
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Provider Business Mailing Address
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Address Line | 4726 HIGHWAY 107 S
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City | PLAUCHEVILLE
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State | LA
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Zip | 71362-2312
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Country | US
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Telephone | 318-447-4669
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | CONNIE BRAZZEL SPEYRER
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Credential | RN
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Telephone | 318-447-4669
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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 | PENDING
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License Number State | LA
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