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General NPI Number Information
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NPI Number | 1548409436
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Entity Type | Individual
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Provider Name | TANYA DRACHENBERG M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 3939 HOUMA BLVD BLDG 3 SUITE 15 DOCTORS ROW
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City | METAIRIE
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State | LA
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Zip | 70006-2931
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Country | US
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Telephone | 504-342-5083
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Fax | 504-486-8340
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Provider Business Mailing Address
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Address Line | PO BOX 24236
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City | NEW ORLEANS
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State | LA
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Zip | 70184-4236
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Country | US
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Telephone | 504-342-5083
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Fax | 504-486-8340
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-148
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License Number State | LA
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