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General NPI Number Information
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NPI Number | 1215806476
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Entity Type | Individual
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Provider Name | KEENAN COTTON CSW
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Gender | Male
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 3303 TULANE AVE BLDG 1
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7186
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Country | US
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Telephone | 504-337-6628
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Fax |
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Provider Business Mailing Address
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Address Line | 1387 SAINT ANTHONY ST APT A
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City | NEW ORLEANS
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State | LA
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Zip | 70116-1569
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18686
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License Number State | LA
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