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General NPI Number Information
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NPI Number | 1043356603
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Entity Type | Individual
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Provider Name | WILLIAM B JANZEN PHD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3445 N CAUSEWAY BLVD SUITE 601
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-834-2606
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Fax | 504-834-2589
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Provider Business Mailing Address
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Address Line | PO BOX 8324
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City | METAIRIE
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State | LA
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Zip | 70011-8324
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Country | US
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Telephone | 504-834-2606
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Fax | 504-834-2589
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 462
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License Number State | LA
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