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General NPI Number Information
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NPI Number | 1073025318
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Entity Type | Organization
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Legal Business Name | GP CONSULTING, LLC
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 300 WASHINGTON ST STE 100D
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City | MONROE
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State | LA
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Zip | 71201-6751
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Country | US
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Telephone | 318-516-3878
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Fax | 318-516-3878
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Provider Business Mailing Address
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Address Line | 466 E FRENCHMANS BEND RD
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City | MONROE
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State | LA
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Zip | 71203-8852
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/THERAPIST
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Name | DR. JASON PAUL AUSTIN
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Credential | PH.D.
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Telephone | 318-516-3878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6317
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6317
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1262
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6317
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License Number State | LA
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