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General NPI Number Information
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NPI Number | 1275602054
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Entity Type | Individual
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Provider Name | KAREN BETH GERSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 MARINERS PLAZA DR 104
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City | MANDEVILLE
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State | LA
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Zip | 70448-4795
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Country | US
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Telephone | 504-831-4676
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Fax | 985-674-1257
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Provider Business Mailing Address
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Address Line | 309 HYACINTH LN
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City | MANDEVILLE
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State | LA
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Zip | 70471-2921
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Country | US
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Telephone | 504-831-4676
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Fax | 985-674-1257
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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 | 2437
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License Number State | LA
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