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General NPI Number Information
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NPI Number | 1184860009
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Entity Type | Organization
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Legal Business Name | COMMUNICATION & LEARNING SERVICES LLC
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 3350 RIDGELAKE DR SUITE 100
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City | METAIRIE
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State | LA
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Zip | 70002-3836
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Country | US
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Telephone | 504-833-4174
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Fax | 504-833-4173
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Provider Business Mailing Address
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Address Line | 3904 MOUTON ST
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City | METAIRIE
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State | LA
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Zip | 70002-1334
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Country | US
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Telephone | 504-887-5960
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Fax | 504-833-4173
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Authorized Official
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Title or Position | OWNER
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Name | NURY ROQUEVERT
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Credential |
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Telephone | 504-887-5969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4964
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License Number State | LA
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