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General NPI Number Information
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NPI Number | 1851287114
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Entity Type | Individual
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Provider Name | CAMERON DOMINIQUE DUMAS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 525 COMMERCE ST
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City | GRETNA
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State | LA
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Zip | 70056-7316
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Country | US
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Telephone | 504-394-5937
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 493
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City | INDEPENDENCE
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State | LA
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Zip | 70443-0493
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Country | US
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Telephone | 985-248-1208
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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