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General NPI Number Information
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NPI Number | 1134489768
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Entity Type | Organization
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Legal Business Name | POINTE COUPEE HUMAN SERVICES CENTER
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 282A HOSPITAL RD
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City | NEW ROADS
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State | LA
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Zip | 70760-2619
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Country | US
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Telephone | 225-638-7663
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Fax | 225-638-7687
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Provider Business Mailing Address
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Address Line | 282A HOSPITAL RD
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City | NEW ROADS
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State | LA
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Zip | 70760-2619
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Country | US
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Telephone | 225-638-7663
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Fax | 225-638-7687
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DONNA D. HAMMOND
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Credential |
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Telephone | 225-638-7663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 153
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License Number State | LA
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