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General NPI Number Information
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NPI Number | 1053113571
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Entity Type | Individual
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Provider Name | LAUREN HAWXHURST LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 16 QUAKER AVE
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City | CORNWALL
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State | NY
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Zip | 12518-2113
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Country | US
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Telephone | 845-237-2420
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Fax |
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Provider Business Mailing Address
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Address Line | 85 ACADEMY AVE
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City | CORNWALL ON HUDSON
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State | NY
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Zip | 12520-1337
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Country | US
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Telephone | 845-742-8890
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 015814-01
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License Number State | NY
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