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General NPI Number Information
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NPI Number | 1134991797
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Entity Type | Individual
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Provider Name | VICTORIA RICHARD CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 4491 HIGHWAY 83
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City | FRANKLIN
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State | LA
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Zip | 70538-7500
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Country | US
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Telephone | 337-923-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 502 MAPLE ST
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City | ABBEVILLE
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State | LA
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Zip | 70510-8164
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Country | US
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Telephone | 337-652-8907
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7010
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License Number State | LA
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