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General NPI Number Information
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NPI Number | 1760584502
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Entity Type | Individual
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Provider Name | VICTORIA TODD DURKEE APRN, PHD, CNS
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 141 DESIARD ST
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City | MONROE
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State | LA
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Zip | 71201-7385
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Country | US
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Telephone | 318-322-8462
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Fax | 318-322-8472
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Provider Business Mailing Address
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Address Line | 2211 MALLORY PL
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City | MONROE
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State | LA
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Zip | 71201-4509
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Country | US
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Telephone | 318-355-6559
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | AP02630
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License Number State | LA
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