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General NPI Number Information
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NPI Number | 1811256456
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Entity Type | Organization
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Legal Business Name | CARE CONCEPTS LOUISIANA, INC
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 19809 PRAIRIE ST STE 200
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City | CHATSWORTH
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State | CA
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Zip | 91311-6504
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Country | US
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Telephone | 818-308-3800
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Fax | 818-450-0911
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Provider Business Mailing Address
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Address Line | 1125 E BROADWAY SUITE 200
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City | GLENDALE
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State | CA
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Zip | 91205-1315
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Country | US
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Telephone | 818-472-5374
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Fax | 818-472-5374
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Authorized Official
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Title or Position | CEO
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Name | MR. GEOFFREY RICKETTS
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Credential |
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Telephone | 818-308-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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