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General NPI Number Information
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NPI Number | 1982780755
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Entity Type | Individual
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Provider Name | TERRY ANN ROUPRICH L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 10/30/2016
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Provider Practice Location Address
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Address Line | 2356 DRUSILLA LN
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City | BATON ROUGE
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State | LA
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Zip | 70809-1415
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Country | US
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Telephone | 225-614-9477
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Fax | 225-216-7977
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Provider Business Mailing Address
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Address Line | PO BOX 66615
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City | BATON ROUGE
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State | LA
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Zip | 70896-6615
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Country | US
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Telephone | 225-937-5238
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Fax | 225-216-7977
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C5115
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3212
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License Number State | LA
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