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General NPI Number Information
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NPI Number | 1811931736
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Entity Type | Individual
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Provider Name | RANDELL LOUIS HESS MSW
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 300 CODIFER BLVD SUITE C
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City | METAIRIE
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State | LA
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Zip | 70005-3777
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Country | US
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Telephone | 504-835-6450
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Fax | 504-835-6451
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Provider Business Mailing Address
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Address Line | 645 DODGE AVENUE
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City | JEFFERSON
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State | LA
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Zip | 70121-1209
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Country | US
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Telephone | 504-835-6450
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Fax | 504-835-6451
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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 | 927
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 872
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License Number State | LA
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