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General NPI Number Information
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NPI Number | 1790298370
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Entity Type | Individual
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Provider Name | ANDREW J HEBERT LPC-S
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Gender | Male
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 142 LAURA DR STE D
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City | THIBODAUX
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State | LA
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Zip | 70301-2988
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Country | US
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Telephone | 985-446-4114
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Fax | 985-446-4112
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | THIBODAUX
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State | LA
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Zip | 70302-0029
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Country | US
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Telephone | 985-446-4114
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Fax | 985-446-4112
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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 | 2617
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License Number State | LA
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