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General NPI Number Information
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NPI Number | 1174029219
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Entity Type | Organization
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Legal Business Name | DARREN M. STROTHER, PHD, LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 1602 W PINHOOK RD STE 303
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City | LAFAYETTE
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State | LA
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Zip | 70508-3735
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Country | US
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Telephone | 337-534-4214
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Fax | 337-484-1405
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Provider Business Mailing Address
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Address Line | 1602 W PINHOOK RD STE 303
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City | LAFAYETTE
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State | LA
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Zip | 70508-3735
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Country | US
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Telephone | 337-534-4214
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Fax | 337-484-1405
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DARREN M STROTHER
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Credential | PHD
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Telephone | 337-534-4214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MP0009
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License Number State | LA
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