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General NPI Number Information
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NPI Number | 1154131423
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Entity Type | Individual
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Provider Name | PAULETTE MARIE AARON PEER SPECIALIST
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 720 SAINT JOHN ST
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City | LAFAYETTE
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State | LA
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Zip | 70501-6706
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Country | US
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Telephone | 337-237-2090
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Fax |
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Provider Business Mailing Address
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Address Line | 139 JAMES COMEAUX RD STE B
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City | LAFAYETTE
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State | LA
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Zip | 70508-3376
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-9100
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | R-23737
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | OBHPSS1153
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License Number State | LA
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