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General NPI Number Information
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NPI Number | 1619178415
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Entity Type | Individual
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Provider Name | DARRELL L GALATAS LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 5001 HIGHWAY 190 EAST SERVICE RD STE A1
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City | COVINGTON
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State | LA
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Zip | 70433-4998
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Country | US
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Telephone | 985-630-3894
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Fax | 985-249-5853
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Provider Business Mailing Address
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Address Line | 1809 OCTAVIA DR
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City | MANDEVILLE
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State | LA
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Zip | 70448-1025
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Country | US
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Telephone | 985-630-3894
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Fax | 985-249-5853
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8244
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License Number State | LA
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