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General NPI Number Information
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NPI Number | 1013884907
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Entity Type | Individual
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Provider Name | MRS. LAURIE KAY BLUE
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 418 W 8TH ST
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City | HANFORD
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State | CA
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Zip | 93230-4536
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Country | US
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Telephone | 559-583-5060
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Fax | 559-583-5062
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Provider Business Mailing Address
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Address Line | 2123 W HOPKINS WAY
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City | HANFORD
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State | CA
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Zip | 93230-3684
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Country | US
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Telephone | 559-269-3555
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Fax | 559-583-5062
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 95BB448AB4
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License Number State | CA
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