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General NPI Number Information
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NPI Number | 1033835582
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Entity Type | Individual
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Provider Name | MRS. JO ANN A MONCRIEF
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Gender | Female
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 2612 METAIRIE RD
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City | METAIRIE
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State | LA
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Zip | 70001-5426
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Country | US
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Telephone | 504-641-4283
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Fax |
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Provider Business Mailing Address
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Address Line | 2912 TUGIE ST
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City | METAIRIE
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State | LA
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Zip | 70003-3930
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Country | US
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Telephone | 504-975-0768
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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