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General NPI Number Information
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NPI Number | 1841013687
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Entity Type | Organization
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Legal Business Name | C EDWARDS CONCEPTS, LLC PUBLIC HEALTH AND DEVELOPMENT CONSULTING
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 300 S. WATERS STREET STE. 230
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City | HENDERSON
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State | NV
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Zip | 89105
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Country | US
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Telephone | 318-751-3815
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 LINE AVE STE 211
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City | SHREVEPORT
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State | LA
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Zip | 71101-4630
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Country | US
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Telephone | 318-751-3815
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHARLETTE EDWARDS
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Credential | MSPH
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Telephone | 318-751-3815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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