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General NPI Number Information
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NPI Number | 1376046250
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Entity Type | Individual
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Provider Name | AMBER STILLEY COCCHIOLA LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 15790 PAUL VEGA DR
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City | HAMMOND
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State | LA
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Zip | 70403-1434
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Country | US
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Telephone | 985-230-7620
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Fax |
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Provider Business Mailing Address
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Address Line | 30108 HUBERT STILLEY RD
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City | INDEPENDENCE
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State | LA
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Zip | 70443-3604
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Country | US
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Telephone | 225-235-4136
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9480
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License Number State | LA
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