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General NPI Number Information
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NPI Number | 1730687872
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Entity Type | Organization
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Legal Business Name | LAURI G. HALLER, LLC
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1535 W MAIN ST
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City | VILLE PLATTE
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State | LA
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Zip | 70525
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Country | US
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Telephone | 337-506-2294
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Fax | 929-259-5972
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Provider Business Mailing Address
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Address Line | 144 CANDY LN
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City | VILLE PLATTE
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State | LA
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Zip | 70586-2936
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Country | US
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Telephone | 337-831-0191
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | TRACI GENOVESE OLIVIER
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Credential |
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Telephone | 337-948-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP09559
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License Number State | LA
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