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General NPI Number Information
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NPI Number | 1902255524
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Entity Type | Organization
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Legal Business Name | CPM CASE MANAGEMENT GROUP, LLC
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Dates
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Enumeration Date | 06/04/2016
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Last Update Date | 06/04/2016
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Provider Practice Location Address
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Address Line | 1206 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70802-4632
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Country | US
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Telephone | 225-663-0161
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Fax | 225-239-7979
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Provider Business Mailing Address
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Address Line | 1206 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70802-4632
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Country | US
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Telephone | 225-663-0191
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Fax | 225-239-7979
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Authorized Official
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Title or Position | DIRECTOR
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Name | KENNETH ANDRE BOWIE
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Credential |
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Telephone | 225-663-0191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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