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General NPI Number Information
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NPI Number | 1003835976
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Entity Type | Individual
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Provider Name | LAURA PARKER MFT
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1001 WASHINGTON ST
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City | EUGENE
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State | OR
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Zip | 97401-3419
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Country | US
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Telephone | 510-384-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 PIERCE ST
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City | EUGENE
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State | OR
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Zip | 97405-1620
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Country | US
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Telephone | 510-384-5995
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T2279
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC37654
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License Number State | CA
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