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General NPI Number Information
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NPI Number | 1326237009
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Entity Type | Individual
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Provider Name | SUZANNE P PALMER MA,NCC,LAC,LPC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 1412 PETERMAN DR SUITE A
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3432
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Country | US
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Telephone | 318-787-6805
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Fax | 318-787-6818
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Provider Business Mailing Address
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Address Line | 1412 PETERMAN DR SUITE A
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3432
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Country | US
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Telephone | 318-787-6805
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Fax | 318-787-6818
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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 | 4257
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1316
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License Number State | LA
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