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NPI 1013565910

NPI 1013565910 : LAUREN SCOTT BUTLER LPC : BEACHWOOD, OH

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General NPI Number Information
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    NPI Number           |    1013565910
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN SCOTT BUTLER LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2019
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    Last Update Date     |    09/04/2019
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Provider Practice Location Address
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    Address Line         |    3401 ENTERPRISE PKWY 
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    City                 |    BEACHWOOD
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    State                |    OH
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    Zip                  |    44122-7341
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    Country              |    US
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    Telephone            |    866-237-6125
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    710 JEFFERSON AVE APT 309 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44113-4681
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    Country              |    US
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    Telephone            |    412-559-0908
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    OH
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