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General NPI Number Information
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NPI Number | 1093138844
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Entity Type | Individual
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Provider Name | LAUREN LARASON LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/30/2014
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 20 E 2ND AVE STE 100
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1880
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Country | US
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Telephone | 484-534-9686
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 NEW DEHAVEN ST
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2742
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Country | US
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Telephone | 484-534-9686
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Fax | 610-828-4910
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW020407
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License Number State | PA
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