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General NPI Number Information
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NPI Number | 1306736095
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Entity Type | Individual
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Provider Name | KADIE JO ROME
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2909 DIVISION ST STE C
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City | METAIRIE
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State | LA
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Zip | 70002-7039
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Country | US
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Telephone | 504-327-7229
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Fax |
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Provider Business Mailing Address
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Address Line | 928 NANCY ST
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City | MANDEVILLE
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State | LA
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Zip | 70448-6504
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Country | US
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Telephone | 225-772-6779
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PLC10800
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License Number State | LA
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