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General NPI Number Information
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NPI Number | 1174372866
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Entity Type | Individual
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Provider Name | AMY ELIZABETH BANDY LPC, NCC, NCSC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 1515 HIGHWAY 1153
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City | OAKDALE
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State | LA
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Zip | 71463-4523
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Country | US
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Telephone | 318-335-0690
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Fax |
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Provider Business Mailing Address
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Address Line | 2468 ROCKY LN
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City | MAMOU
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State | LA
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Zip | 70554-4733
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Country | US
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Telephone |
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 4824
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License Number State | LA
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