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General NPI Number Information
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NPI Number | 1194918862
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Entity Type | Individual
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Provider Name | LAURIE KAY SCHAFFER M.S.W. L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 18119 SW 3RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4349
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Country | US
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Telephone | 954-441-1562
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Fax | 954-450-9532
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Provider Business Mailing Address
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Address Line | 18119 SW 3RD ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4349
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Country | US
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Telephone | 954-441-1562
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Fax | 954-450-9532
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW4390
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License Number State | FL
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