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General NPI Number Information
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NPI Number | 1881843571
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Entity Type | Organization
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Legal Business Name | CARON C. SLUSSER APRN, LLC
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 208 HIGHLAND PARK PLZ SUITE 208
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City | COVINGTON
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State | LA
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Zip | 70433-7129
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Country | US
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Telephone | 985-875-7660
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Fax | 985-875-7441
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Provider Business Mailing Address
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Address Line | 208 HIGHLAND PARK PLZ SUITE 208
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City | COVINGTON
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State | LA
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Zip | 70433-7129
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Country | US
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Telephone | 985-875-7660
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Fax | 985-875-7441
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | CARON C SLUSSER
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Credential | APRN
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Telephone | 985-875-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN068554 AP05073
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License Number State | LA
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