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General NPI Number Information
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NPI Number | 1922728740
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Entity Type | Individual
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Provider Name | JOSHUA AARON CARPENTER LAC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 19344 N 10TH ST
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City | COVINGTON
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State | LA
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Zip | 70433-8877
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Country | US
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Telephone | 985-276-4165
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Fax |
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Provider Business Mailing Address
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Address Line | 12248 MARILYN LN
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City | HAMMOND
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State | LA
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Zip | 70403-7328
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Country | US
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Telephone | 225-442-2841
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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 | 19383
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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 | 5181
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License Number State | LA
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