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General NPI Number Information
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NPI Number | 1992841647
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Entity Type | Individual
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Provider Name | LAURIE PATOUT LEGNON MSW LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 318 NORTH HOSPITAL DRIVE
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City | ABBEVILLE
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State | LA
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Zip | 70510
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Country | US
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Telephone | 337-893-6131
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Fax | 337-893-5527
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Provider Business Mailing Address
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Address Line | 110 CLIPPER COVE
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City | LAFAYETTE
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State | LA
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Zip | 70508
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Country | US
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Telephone | 337-984-3810
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3338
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License Number State | LA
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