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General NPI Number Information
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NPI Number | 1245640176
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Entity Type | Organization
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Legal Business Name | ACM BEHAVIORAL PSYCHOLOGY LLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 4500 CLEARVIEW PKWY STE 100
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City | METAIRIE
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State | LA
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Zip | 70006-2350
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Country | US
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Telephone | 504-247-0161
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 CLEARVIEW PKWY STE 100
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City | METAIRIE
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State | LA
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Zip | 70006-2350
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Country | US
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Telephone | 504-247-0161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANN CRAPANZANO MORA
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Credential | PH.D.
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Telephone | 504-247-0161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1255
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License Number State | LA
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