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NPI 1831121623

NPI 1831121623 : COMPLETE CARE, INC : SCOTTSBORO, AL

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General NPI Number Information
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    NPI Number           |    1831121623
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPLETE CARE, INC 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    09/23/2009
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Provider Practice Location Address
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    Address Line         |    202 PARKS AVE 
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    City                 |    SCOTTSBORO
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    State                |    AL
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    Zip                  |    35768-2506
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    Country              |    US
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    Telephone            |    256-259-0202
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    Fax                  |    256-259-6692
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Provider Business Mailing Address
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    Address Line         |    202 PARKS AVE 
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    City                 |    SCOTTSBORO
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    State                |    AL
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    Zip                  |    35768-2506
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    Country              |    US
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    Telephone            |    256-259-0202
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    Fax                  |    256-259-6692
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     LEIGH ANN  MATTHEWS 
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    Credential           |    
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    Telephone            |    256-845-0883
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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       |    102
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    License Number State |    AL
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