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General NPI Number Information
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NPI Number | 1962924001
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Entity Type | Organization
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Legal Business Name | LHCG CXX, LLC
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 3330 MASONIC DR FL 4
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3841
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Country | US
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Telephone | 318-448-6505
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Fax | 318-483-4033
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Provider Business Mailing Address
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Address Line | 1000 CHINABERRY DR STE 200
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2443
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Country | US
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Telephone | 318-684-6050
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Fax | 318-684-6051
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Authorized Official
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Title or Position | GROUP PRESIDENT
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Name | CHRIS FOX
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Credential |
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Telephone | 337-247-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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