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General NPI Number Information
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NPI Number | 1407064538
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Entity Type | Individual
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Provider Name | DORIS A SMALL LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 123 BROWNVILLE RD
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City | NATCHITOCHES
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State | LA
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Zip | 71457-8640
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Country | US
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Telephone | 318-646-3705
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Fax | 318-646-3705
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Provider Business Mailing Address
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Address Line | 123 BROWNSVILLE RD
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-646-3705
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Fax | 318-646-3705
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2069
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License Number State | LA
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