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General NPI Number Information
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NPI Number | 1588549919
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Entity Type | Individual
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Provider Name | ALAINA DESHOTEL TARVER M.S., CCC-SLP,L-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 415 E LOUGARRE ST
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City | CHURCH POINT
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State | LA
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Zip | 70525-4112
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Country | US
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Telephone | 337-684-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 219 CRESCENT VIEW LN
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City | DUSON
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State | LA
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Zip | 70529-3392
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Country | US
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Telephone | 985-714-2613
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9358
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License Number State | LA
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