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General NPI Number Information
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NPI Number | 1225426216
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Entity Type | Individual
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Provider Name | LAURA MARTIN LPCC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 1329 E KEMPER RD STE 4228
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City | CINCINNATI
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State | OH
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Zip | 45246-5100
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Country | US
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Telephone | 513-463-6339
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Fax | 513-536-8319
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Provider Business Mailing Address
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Address Line | 1329 E KEMPER RD STE 4228
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City | CINCINNATI
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State | OH
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Zip | 45246-5100
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Country | US
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Telephone | 513-463-6339
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Fax | 513-536-8319
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E1600098
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License Number State | OH
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