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General NPI Number Information
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NPI Number | 1306187083
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Entity Type | Organization
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Legal Business Name | ESCANDELL & ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 6016 NAVAHO TRL
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City | ALEXANDRIA
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State | LA
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Zip | 71301-2735
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Country | US
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Telephone | 318-451-1115
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Fax | 318-448-9088
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Provider Business Mailing Address
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Address Line | 6016 NAVAHO TRL
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City | ALEXANDRIA
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State | LA
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Zip | 71301-2735
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Country | US
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Telephone | 318-451-1115
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Fax | 318-448-9088
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINCENT ANTHONY ESCANDELL
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Credential | PHD
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Telephone | 318-451-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 784
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License Number State | LA
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