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General NPI Number Information
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NPI Number | 1164612867
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Entity Type | Individual
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Provider Name | RUDY LEE TROYER MSW, LCSW, LAC
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Gender | Male
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Dates
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Enumeration Date | 07/29/2007
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Last Update Date | 07/29/2007
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Provider Practice Location Address
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Address Line | 9229 BLUEBONNET BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70810-2808
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Country | US
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Telephone | 225-769-7575
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Fax | 225-769-4795
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Provider Business Mailing Address
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Address Line | 9229 BLUEBONNET BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70810-2808
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Country | US
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Telephone | 225-769-7575
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Fax | 225-769-4795
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 915
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8205
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License Number State | LA
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