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General NPI Number Information
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NPI Number | 1811286727
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Entity Type | Individual
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Provider Name | APRIL M BROUSSARD LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 567 CASON LN SUITE A
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City | MURFREESBORO
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State | TN
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Zip | 37128-4821
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Country | US
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Telephone | 615-680-9822
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Fax | 615-494-1145
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Provider Business Mailing Address
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Address Line | 1502 AULDRIDGE DR
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City | CHRISTIANA
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State | TN
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Zip | 37037-6622
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Country | US
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Telephone | 615-427-2997
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Fax | 615-494-1145
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5249
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License Number State | TN
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