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General NPI Number Information
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NPI Number | 1053201566
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Entity Type | Individual
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Provider Name | LAURA KATHERINE VAN VORIS LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1600 7TH AVE STE 3
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City | TROY
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State | NY
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Zip | 12180-3410
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Country | US
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Telephone | 518-270-2800
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Fax | 518-270-2707
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Provider Business Mailing Address
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Address Line | 87 SALISBURY RD
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City | DELMAR
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State | NY
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Zip | 12054-1218
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Country | US
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Telephone | 518-669-9151
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 128129-01
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License Number State | NY
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