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General NPI Number Information
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NPI Number | 1275808602
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 1900 S ACADIAN THRUWAY
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City | BATON ROUGE
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State | LA
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Zip | 70808-1665
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Country | US
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Telephone | 225-336-8708
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Fax | 225-336-8703
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Provider Business Mailing Address
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Address Line | 1900 S ACADIAN THRUWAY
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City | BATON ROUGE
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State | LA
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Zip | 70808-1665
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Country | US
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Telephone | 225-336-8708
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Fax | 225-336-8703
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Authorized Official
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Title or Position | DEPT. DIRECTOR
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Name | MRS. JANICE D. ALLEN
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Credential | LCSW
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Telephone | 225-336-8708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1184
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License Number State | LA
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