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General NPI Number Information
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NPI Number | 1407619356
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Entity Type | Individual
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Provider Name | CAMERON OWSLEY
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Gender | Female
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 4306 S GRAND ST
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City | MONROE
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State | LA
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Zip | 71202-6322
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Country | US
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Telephone | 318-322-9418
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Fax |
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Provider Business Mailing Address
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Address Line | 416 SIROD ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5850
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Country | US
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Telephone | 318-663-8257
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PLC10071
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License Number State | LA
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