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General NPI Number Information
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NPI Number | 1346430261
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Entity Type | Individual
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Provider Name | KATHERINE POIRRIER SPEARS APRN
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 1015 SAINT JOHN ST
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City | LAFAYETTE
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State | LA
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Zip | 70501-6711
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Country | US
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Telephone | 337-269-5000
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Fax | 337-269-5001
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Provider Business Mailing Address
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Address Line | 713 N AVENUE L
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City | CROWLEY
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State | LA
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Zip | 70526-3832
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Country | US
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Telephone | 337-788-3330
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Fax | 337-788-4770
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | AP05206
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN096944
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License Number State | LA
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