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General NPI Number Information
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NPI Number | 1164096889
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Entity Type | Individual
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Provider Name | CASEY COLEMAN PLMFT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 8230 OAK ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-2042
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Country | US
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Telephone | 504-358-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 DORAL CT
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City | NEW ORLEANS
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State | LA
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Zip | 70128-3635
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Country | US
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Telephone | 504-638-4355
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | PLM1429
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License Number State | LA
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