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General NPI Number Information
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NPI Number | 1326584327
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Entity Type | Individual
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Provider Name | FAYE S PLAYER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 2924 KNIGHT ST SUITE 426
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City | SHREVEPORT
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State | LA
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Zip | 71105-2415
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Country | US
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Telephone | 318-754-3065
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Fax | 318-779-0439
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Provider Business Mailing Address
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Address Line | 2924 KNIGHT ST SUITE 426
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City | SHREVEPORT
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State | LA
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Zip | 71105-2415
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Country | US
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Telephone | 318-754-3065
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Fax | 318-779-0439
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2919
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License Number State | LA
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