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General NPI Number Information
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NPI Number | 1154923167
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Entity Type | Individual
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Provider Name | LAURA CANEDO
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2439 MANHATTAN BLVD STE 304
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City | HARVEY
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State | LA
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Zip | 70058-5341
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Country | US
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Telephone | 504-821-6830
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Fax | 504-208-1900
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Provider Business Mailing Address
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Address Line | 3030 EDENBORN AVE APT 121
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City | METAIRIE
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State | LA
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Zip | 70002-4766
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Country | US
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Telephone | 347-520-9898
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PLC10906
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License Number State | LA
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