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General NPI Number Information
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NPI Number | 1194877811
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Entity Type | Individual
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Provider Name | KAREN RINARDO SPEIER PHD, MP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 05/20/2012
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Provider Practice Location Address
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Address Line | 650 STEELE BOULEVARD
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City | BATON ROUGE
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State | LA
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Zip | 70806-5742
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Country | US
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Telephone | 225-383-2100
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Fax | 225-383-2108
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Provider Business Mailing Address
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Address Line | 650 STEELE BOULEVARD
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City | BATON ROUGE
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State | LA
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Zip | 70806-5742
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Country | US
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Telephone | 225-383-2100
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Fax | 225-383-2108
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 504
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 504
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 504
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | MP.0504
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License Number State | LA
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