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General NPI Number Information
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NPI Number | 1396273462
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Entity Type | Individual
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Provider Name | SHANDA LANGFORD CSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 8326 KELWOOD AVE
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City | BATON ROUGE
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State | LA
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Zip | 70806-4803
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Country | US
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Telephone | 225-665-7878
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Fax | 225-665-7856
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Provider Business Mailing Address
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Address Line | 1000 CHINABERRY DR STE 900
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2455
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Country | US
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Telephone | 318-459-6795
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Fax | 318-626-5429
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 5208
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License Number State | LA
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