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General NPI Number Information
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NPI Number | 1902235781
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE PRACTICE SOLUTIONS LLC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 85 WHISPERWOOD BLVD
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City | SLIDELL
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State | LA
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Zip | 70458-1136
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Country | US
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Telephone | 985-781-8565
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Fax |
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Provider Business Mailing Address
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Address Line | 85 WHISPERWOOD BLVD STE. 1-APS
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City | SLIDELL
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State | LA
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Zip | 70458-1136
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Country | US
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Telephone | 985-781-8565
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | HERBERT DALE MOORE JR.
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Credential |
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Telephone | 985-781-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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