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General NPI Number Information
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NPI Number | 1639842420
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Entity Type | Individual
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Provider Name | LAURA MURPHY BERTUCCI LPC
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 2901 N I 10 SERVICE RD E STE 300
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City | METAIRIE
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State | LA
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Zip | 70002-6137
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Country | US
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Telephone | 504-780-1702
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 CLEVELAND PL
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City | METAIRIE
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State | LA
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Zip | 70003-1530
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Country | US
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Telephone | 318-245-9915
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5802
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License Number State | LA
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