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General NPI Number Information
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NPI Number | 1891060281
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Entity Type | Individual
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Provider Name | CLAUDIA MARCUA HALL LAC, CCS, CCDP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 129 BRADFORD DR.
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City | CARENCRO
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State | LA
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Zip | 70520
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Country | US
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Telephone | 337-349-5979
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Fax | 337-291-5407
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Provider Business Mailing Address
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Address Line | 129 BRADFORD DR
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City | CARENCRO
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State | LA
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Zip | 70520-3919
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Country | US
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Telephone | 337-349-5979
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Fax | 337-291-5407
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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 | LAC #921
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CCGC #138
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CCDP #1078
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CCS #125
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License Number State | LA
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