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General NPI Number Information
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NPI Number | 1891817557
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Entity Type | Organization
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Legal Business Name | CARE AND DEVELOPMENT CENTER, INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 1919 SAINT CLAUDE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70116-1541
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Country | US
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Telephone | 504-944-7400
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Fax | 504-944-8583
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Provider Business Mailing Address
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Address Line | 827 CAUSEWAY BLVD SUITE 210
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City | JEFFERSON
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State | LA
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Zip | 70121-2738
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Country | US
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Telephone | 504-833-8383
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Fax | 504-833-0983
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Authorized Official
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Title or Position | CEO
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Name | MR. GILBERT R. CHARLES III
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Credential | MASTERS DEGREE
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Telephone | 504-833-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 1553913
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License Number State | LA
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