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General NPI Number Information
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NPI Number | 1235744608
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Entity Type | Individual
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Provider Name | DEBBIE JEAN PIERCE
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Gender | Female
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Dates
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Enumeration Date | 09/13/2020
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Last Update Date | 09/13/2020
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Provider Practice Location Address
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Address Line | 2404 DUVAL DR
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City | MONROE
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State | LA
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Zip | 71201-2986
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Country | US
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Telephone | 318-322-0640
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 N 6TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-2866
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Country | US
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Telephone | 601-303-3246
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 215613
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License Number State | LA
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