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General NPI Number Information
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NPI Number | 1821970211
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Entity Type | Individual
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Provider Name | ERIC PERRIN CIT-5596
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Gender | Male
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 306 OAK LANE DR
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City | LAFAYETTE
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State | LA
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Zip | 70508-4533
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Country | US
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Telephone | 337-400-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GRANDLAKE DR
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5537
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Country | US
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Telephone | 337-400-1191
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CIT-5596
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License Number State | LA
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