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General NPI Number Information
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NPI Number | 1013123868
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Entity Type | Individual
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Provider Name | SYLVIA ARREDONDO MIDDLETON L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3717 GOVERNMENT ST SUITE 3
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City | ALEXANDRIA
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State | LA
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Zip | 71302-3358
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Country | US
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Telephone | 318-443-4072
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Fax |
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Provider Business Mailing Address
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Address Line | 1744 WHITE ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-6351
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Country | US
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Telephone | 318-443-4072
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3696
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License Number State | LA
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