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General NPI Number Information
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NPI Number | 1164965711
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Entity Type | Organization
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Legal Business Name | S & H MENTAL HEALTH ASSOCIATES LLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 4440 VIKING DR STE 300
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City | BOSSIER CITY
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State | LA
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Zip | 71111-7511
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Country | US
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Telephone | 318-584-7137
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Fax | 318-584-7140
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Provider Business Mailing Address
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Address Line | 4440 VIKING DR STE 300
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City | BOSSIER CITY
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State | LA
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Zip | 71111-7511
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Country | US
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Telephone | 318-584-7137
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Fax | 318-584-7140
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CLAUDIA ORELLANA
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Credential | MD
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Telephone | 318-584-7137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 202517
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License Number State | LA
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