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NPI 1457773657

NPI 1457773657 : COMPREHENSIVE ASSESSMENTS, INC. : SHREVEPORT, LA

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General NPI Number Information
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    NPI Number           |    1457773657
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPREHENSIVE ASSESSMENTS, INC. 
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Dates
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    Enumeration Date     |    01/08/2014
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    Last Update Date     |    02/17/2016
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Provider Practice Location Address
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    Address Line         |    3010 KNIGHT ST SUITE 125
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71105-2553
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    Country              |    US
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    Telephone            |    318-861-0194
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    Fax                  |    318-861-0284
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Provider Business Mailing Address
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    Address Line         |    3010 KNIGHT ST SUITE 125
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71105-2553
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    Country              |    US
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    Telephone            |    318-861-0194
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    Fax                  |    318-861-0284
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. THOMAS  STAATS 
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    Credential           |    PH.D
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    Telephone            |    318-834-3925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    254
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    License Number State |    LA
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