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General NPI Number Information
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NPI Number | 1841321148
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Entity Type | Individual
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Provider Name | MRS. JUDY LANE CARAWAY
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18095 BRANDON DR E
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City | HAMMOND
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State | LA
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Zip | 70403-0271
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Country | US
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Telephone | 985-340-2925
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Fax |
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Provider Business Mailing Address
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Address Line | 18095 BRANDON DR E
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City | HAMMOND
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State | LA
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Zip | 70403-0271
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Country | US
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Telephone | 985-340-2925
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4500
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | S2361
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License Number State | MS
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