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General NPI Number Information
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NPI Number | 1073851903
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Entity Type | Individual
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Provider Name | REBECCA CAMPBELL DEAN LAC, MAC, CACII
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Gender | Female
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 13371 HIGHWAY 90 STE 2
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City | BOUTTE
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State | LA
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Zip | 70039-3005
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Country | US
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Telephone | 985-240-1459
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Fax |
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Provider Business Mailing Address
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Address Line | 505 TERRE HAUTE PL
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City | HOUMA
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State | LA
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Zip | 70364-1151
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LAC634AC
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License Number State | SC
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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 |
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License Number State |
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