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General NPI Number Information
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NPI Number | 1215287560
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Entity Type | Individual
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Provider Name | AVERIE MCCAULEY LSCW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 2601 N HULLEN ST STE. 237
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City | METAIRIE
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State | LA
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Zip | 70002-5900
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Country | US
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Telephone | 337-831-0938
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Fax | 504-302-9186
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Provider Business Mailing Address
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Address Line | 7425 PITT ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-3618
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Country | US
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Telephone | 337-831-0938
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Fax | 504-302-9186
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9829
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License Number State | LA
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