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General NPI Number Information
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NPI Number | 1952578015
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Entity Type | Organization
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Legal Business Name | COTTLES PCS SERVICES
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 329 SOUTH DR
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5060
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Country | US
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Telephone | 318-238-5900
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Fax | 318-238-5901
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Provider Business Mailing Address
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Address Line | 329 SOUTH DR
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5060
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Country | US
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Telephone | 318-238-5900
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Fax | 318-238-5901
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHERILYNNE TONI COTTLES
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Credential | MD
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Telephone | 318-238-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | LA
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Taxonomy #3
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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 | LA
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