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NPI 1346860319

NPI 1346860319 : RHONDA MICHELLE NEWMAN CIT : ETHEL, LA

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General NPI Number Information
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    NPI Number           |    1346860319
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    Entity Type          |    Individual 
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    Provider Name        |    RHONDA MICHELLE NEWMAN CIT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2020
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    Last Update Date     |    04/20/2020
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Provider Practice Location Address
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    Address Line         |    3015 HIGHWAY 956 
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    City                 |    ETHEL
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    State                |    LA
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    Zip                  |    70730-4520
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    Country              |    US
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    Telephone            |    225-683-4144
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    Fax                  |    225-683-4142
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Provider Business Mailing Address
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    Address Line         |    415 CLOUD DR APT 7 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70806-4218
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    Country              |    US
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    Telephone            |    225-442-4198
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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