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General NPI Number Information
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NPI Number | 1184798340
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Entity Type | Individual
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Provider Name | LAURA MIRIAM ENGLANDER PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 16 CLARKE ST SUITE 23
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City | LEXINGTON
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State | MA
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Zip | 02421
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Country | US
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Telephone | 781-863-5115
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Fax | 978-287-1449
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | LEXINGTON
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State | MA
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Zip | 02420-0001
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Country | US
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Telephone | 781-863-5115
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Fax | 781-316-0219
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7123
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License Number State | MA
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