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General NPI Number Information
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NPI Number | 1922307354
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Entity Type | Organization
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Legal Business Name | MONICA J. BENNETT, MPA, LCSW, L.L.C.
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 02/08/2014
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Provider Practice Location Address
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Address Line | 610 MURRAY ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8021
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Country | US
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Telephone | 225-281-2627
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Fax |
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Provider Business Mailing Address
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Address Line | 610 MURRAY ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8021
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Country | US
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Telephone | 225-281-2627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONICA J. BENNETT
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Credential | MPA, LCSW
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Telephone | 225-281-2627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8115
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License Number State | LA
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