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General NPI Number Information
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NPI Number | 1053731711
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Entity Type | Individual
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Provider Name | LAURA MOORE LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 401 LEWIS HARGETT CIR STE 220
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City | LEXINGTON
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State | KY
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Zip | 40503-3565
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Country | US
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Telephone | 859-971-2585
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Fax | 859-971-7594
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Provider Business Mailing Address
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Address Line | 10100 ELIDA RD
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City | DELPHOS
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State | OH
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Zip | 45833-9058
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Country | US
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Telephone | 419-695-8010
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Fax | 419-932-6232
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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 | 103005
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License Number State | KY
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