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General NPI Number Information
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NPI Number | 1891117479
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Entity Type | Organization
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Legal Business Name | CASE MANAGEMENT CAREGIVING, LLC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 2704 BROOKS ST SUITE C
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City | MISSOULA
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State | MT
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Zip | 59801-7868
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Country | US
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Telephone | 406-541-6577
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Fax | 406-541-3199
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Provider Business Mailing Address
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Address Line | PO BOX 3274
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City | MISSOULA
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State | MT
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Zip | 59806-3274
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Country | US
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Telephone | 406-541-6577
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Fax | 406-541-3199
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | DENISE SHERMAN
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Credential |
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Telephone | 406-541-6577
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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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