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General NPI Number Information
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NPI Number | 1497111215
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Entity Type | Individual
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Provider Name | ROXANE L. DUFRENE LPC-S
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Gender | Female
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 7611 MAPLE ST. SUITE B1
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City | NEW ORLEANS
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State | LA
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Zip | 70118-6021
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Country | US
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Telephone | 504-669-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 509 ADAMS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-3817
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Country | US
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Telephone | 504-256-5592
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2110
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 721
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License Number State | LA
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