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General NPI Number Information
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NPI Number | 1003817289
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Entity Type | Individual
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Provider Name | LAURA ELLEN LADUE PT, DPT, LIMHP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1543 N COTNER BLVD
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City | LINCOLN
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State | NE
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Zip | 68505-1627
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Country | US
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Telephone | 402-429-5883
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Fax | 402-817-4319
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Provider Business Mailing Address
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Address Line | 1543 N COTNER BLVD
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City | LINCOLN
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State | NE
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Zip | 68505-1627
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Country | US
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Telephone | 402-429-5883
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Fax | 402-464-5116
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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 | 169
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License Number State | NE
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