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General NPI Number Information
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NPI Number | 1003095803
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Entity Type | Organization
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Legal Business Name | LAUREL CREEK COUNSELING
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 336 CHESTNUT ST
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City | MIFFLINBURG
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State | PA
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Zip | 17844-1318
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Country | US
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Telephone | 570-966-9181
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Fax | 570-966-4776
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Provider Business Mailing Address
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Address Line | 336 CHESTNUT ST
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City | MIFFLINBURG
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State | PA
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Zip | 17844-1318
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Country | US
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Telephone | 570-966-9181
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Fax | 570-966-4776
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. BARBARA JEAN SAUTER
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Credential | M.ED.
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Telephone | 570-966-3266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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