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General NPI Number Information
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NPI Number | 1063212728
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Entity Type | Individual
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Provider Name | EMILY KOPFLER-BLEAKLEY MS, PLPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 60 LOUIS PRIMA DR
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City | COVINGTON
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State | LA
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Zip | 70433-5903
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Country | US
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Telephone | 985-327-5427
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ALEXANDER DR
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City | HAMMOND
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State | LA
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Zip | 70401-2228
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Country | US
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Telephone | 985-351-2557
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PLC9933
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License Number State | LA
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