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General NPI Number Information
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NPI Number | 1659815058
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Entity Type | Individual
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Provider Name | DYLAN TRAHAN
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Gender | Male
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 415 N CUTTING AVE
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City | JENNINGS
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State | LA
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Zip | 70546-5963
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Country | US
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Telephone | 337-824-4201
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Fax | 337-824-4201
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Provider Business Mailing Address
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Address Line | 415 N CUTTING AVE
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City | JENNINGS
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State | LA
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Zip | 70546-5963
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Country | US
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Telephone | 337-824-4201
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Fax | 337-824-4201
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8545
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License Number State | LA
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