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General NPI Number Information
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NPI Number | 1942639794
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Entity Type | Individual
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Provider Name | PAULA BELLARD CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 8128 FLORIDA BLVD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-7865
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Country | US
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Telephone | 225-791-8666
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Fax | 225-791-2891
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Provider Business Mailing Address
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Address Line | 314 FORT HAMILTON DR
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City | OPELOUSAS
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State | LA
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Zip | 70570-8125
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Country | US
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Telephone | 337-945-4465
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Fax | 337-407-8623
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3236
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License Number State | LA
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