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General NPI Number Information
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NPI Number | 1326792151
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Entity Type | Individual
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Provider Name | ELIZABETH HOOTER
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 27488 PICHON RD
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City | LACOMBE
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State | LA
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Zip | 70445-4318
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Country | US
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Telephone | 985-882-7541
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Fax |
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Provider Business Mailing Address
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Address Line | 951 LABARRE ST
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City | MANDEVILLE
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State | LA
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Zip | 70448-2413
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Country | US
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Telephone | 504-231-5567
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4801
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License Number State | LA
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