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General NPI Number Information
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NPI Number | 1366361016
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Entity Type | Organization
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Legal Business Name | NICOLE DE LA FUENTE LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 2529 JENA ST STE 103
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6322
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Country | US
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Telephone | 504-434-2114
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Fax |
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Provider Business Mailing Address
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Address Line | 1466 CRESCENT DR
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City | NEW ORLEANS
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State | LA
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Zip | 70122-2008
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Country | US
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Telephone | 504-434-2114
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Fax | 504-434-2114
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | NICOLE DE LA FUENTE
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Credential | LCSW-BACS
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Telephone | 504-434-2114
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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 |
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License Number State |
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