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General NPI Number Information
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NPI Number | 1114388295
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Entity Type | Individual
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Provider Name | RACHEL E BENNETT LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1112 E ASCENSION COMPLEX BLVD
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City | GONZALES
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State | LA
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Zip | 70737-4265
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Country | US
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Telephone | 225-743-2445
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Fax | 225-450-1150
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 225-743-2445
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 12548
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License Number State | LA
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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 | 12548
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License Number State | LA
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