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General NPI Number Information
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NPI Number | 1205331691
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Entity Type | Individual
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Provider Name | LAURIE ELIZABETH LEGRAND LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 440 KNOX ABBOTT DR STE 400
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City | CAYCE
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State | SC
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Zip | 29033-4353
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Country | US
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Telephone | 843-501-1099
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Fax | 843-405-2040
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone | 630-884-9012
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C011413
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7016
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License Number State | SC
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