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General NPI Number Information
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NPI Number | 1255642997
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Entity Type | Individual
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Provider Name | ROSLYN TRICHELLE DOWNS LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 602 E GEORGIA AVE
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City | RUSTON
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State | LA
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Zip | 71270-3931
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Country | US
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Telephone | 318-251-4125
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Fax | 318-251-5000
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Provider Business Mailing Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-475-1156
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 52635
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7647
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License Number State | LA
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