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General NPI Number Information
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NPI Number | 1295210276
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Entity Type | Individual
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Provider Name | DAVID PERRAULT II MA
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Gender | Male
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 2401 WESTBEND PKWY STE 4070
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City | NEW ORLEANS
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State | LA
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Zip | 70114-2469
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Country | US
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Telephone | 504-363-7449
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Fax | 504-333-6252
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Provider Business Mailing Address
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Address Line | 2701 MIDDEN DR
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City | MARRERO
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State | LA
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Zip | 70072-6611
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Country | US
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Telephone | 504-912-3949
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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