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General NPI Number Information
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NPI Number | 1689101156
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Entity Type | Individual
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Provider Name | LATUNYA LLOYD BA, RSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 1417 W MORRIS AVE
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City | HAMMOND
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State | LA
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Zip | 70403-3854
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Country | US
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Telephone | 985-542-9949
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | NATALBANY
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State | LA
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Zip | 70451-0035
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Country | US
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Telephone | 985-687-6801
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8974
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License Number State | LA
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