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General NPI Number Information
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NPI Number | 1770722076
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Entity Type | Individual
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Provider Name | THOMAS ANDREW BOUNDS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 2620 CENTENARY BLVD SUITE #207
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City | SHREVEPORT
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State | LA
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Zip | 71104-3356
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Country | US
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Telephone | 318-676-7650
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Fax | 318-676-7501
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Provider Business Mailing Address
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Address Line | 2620 CENTENARY BLVD SUITE #207
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City | SHREVEPORT
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State | LA
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Zip | 71104-3356
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Country | US
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Telephone | 318-676-7650
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Fax | 318-676-7501
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 999
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License Number State | LA
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