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General NPI Number Information
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NPI Number | 1841343746
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Entity Type | Individual
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Provider Name | MARY L. LEJEUNE R.N.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1822 WEST SECOND STREET P.O. DRAWER 1403
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City | CROWLEY
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State | LA
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Zip | 70527-1403
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Country | US
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Telephone | 337-788-7511
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Fax | 337-788-7588
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Provider Business Mailing Address
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Address Line | 1822 WEST SECOND STREET P.O. DRAWER 1403
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City | CROWLEY
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State | LA
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Zip | 70527-1403
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Country | US
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Telephone | 337-788-7511
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Fax | 337-788-7588
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN094829
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License Number State | LA
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