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General NPI Number Information
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NPI Number | 1972999118
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Entity Type | Individual
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Provider Name | JULIET JONES LANDRY LPC, RN
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Gender | Female
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 201 W 7TH ST SUITE #7
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City | THIBODAUX
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State | LA
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Zip | 70301-3250
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Country | US
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Telephone | 985-438-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 213 SAINT MARY ST SUITE 204
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City | THIBODAUX
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State | LA
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Zip | 70301-2634
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Country | US
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Telephone | 985-438-1177
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 376-2
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License Number State | LA
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