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General NPI Number Information
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NPI Number | 1063988087
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Entity Type | Individual
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Provider Name | ERIN BEATTIE LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 5789 HIGHWAY 311 STE 2
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City | HOUMA
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State | LA
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Zip | 70360-5581
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Country | US
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Telephone | 985-346-0436
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Fax |
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Provider Business Mailing Address
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Address Line | 208 ANGELLE DR
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City | HOUMA
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State | LA
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Zip | 70360-3978
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Country | US
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Telephone | 985-209-4206
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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 | 9052
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License Number State | LA
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