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General NPI Number Information
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NPI Number | 1265514426
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Entity Type | Individual
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Provider Name | CAROL DARR PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 1314 S JAHNCKE AVE
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City | COVINGTON
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State | LA
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Zip | 70433-3913
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Country | US
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Telephone | 985-789-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 S LOUISIANA ST
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City | COVINGTON
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State | LA
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Zip | 70433-3947
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Country | US
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Telephone | 985-789-1089
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN080255
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP01245
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License Number State | LA
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