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General NPI Number Information
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NPI Number | 1861982951
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Entity Type | Organization
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Legal Business Name | C&C SITTING AGENCY LLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 575 WILLIAMS RD
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City | SHREVEPORT
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State | LA
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Zip | 71106-8277
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Country | US
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Telephone | 318-606-4793
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Fax |
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Provider Business Mailing Address
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Address Line | 575 WILLIAMS RD
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City | SHREVEPORT
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State | LA
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Zip | 71106-8277
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Country | US
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Telephone | 318-606-4793
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CATHY WARE
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Credential |
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Telephone | 318-564-8933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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