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NPI 1841448107

NPI 1841448107 : HELENE DIONNE MARTIN LMSW : BILOXI, MS

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General NPI Number Information
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    NPI Number           |    1841448107
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    Entity Type          |    Individual 
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    Provider Name        |    HELENE DIONNE MARTIN LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2008
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    Last Update Date     |    08/28/2008
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Provider Practice Location Address
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    Address Line         |    282 LAMEUSE ST 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39530-3108
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    Country              |    US
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    Telephone            |    228-234-5534
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13808 VIRGINIA ST 
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    City                 |    OCEAN SPRINGS
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    State                |    MS
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    Zip                  |    39565-6931
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    Country              |    US
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    Telephone            |    228-223-6734
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    M4188
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    License Number State |    MS
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