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General NPI Number Information
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NPI Number | 1033455340
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Entity Type | Organization
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Legal Business Name | COMMUNITY RESOURCES
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 307 RICE LN
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City | OPELOUSAS
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State | LA
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Zip | 70570-3501
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Country | US
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Telephone | 337-945-6185
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Fax | 337-407-2515
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Provider Business Mailing Address
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Address Line | 307 RICE LN
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City | OPELOUSAS
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State | LA
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Zip | 70570-3501
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Country | US
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Telephone | 337-945-6185
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Fax | 337-407-2515
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ANGELA ROBERTS
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Credential |
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Telephone | 337-945-6185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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