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General NPI Number Information
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NPI Number | 1902129497
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Entity Type | Organization
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Legal Business Name | NATCHITOCHES ASSOCIATION FOR RETARDED CITIZENS, INC.
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 127 AIRPORT RD
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City | NATCHITOCHES
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State | LA
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Zip | 71457-3101
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Country | US
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Telephone | 318-352-5176
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Fax | 318-352-0887
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Provider Business Mailing Address
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Address Line | 127 AIRPORT RD
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City | NATCHITOCHES
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State | LA
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Zip | 71457-3101
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Country | US
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Telephone | 318-352-5176
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Fax | 318-352-0887
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LAURA LOU THOMAS
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Credential | B. A.
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Telephone | 318-352-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2230
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License Number State | LA
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