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General NPI Number Information
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NPI Number | 1245368562
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Entity Type | Individual
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Provider Name | LAINIE HOLZMAN M.S.W., L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 6617 CLAYTON RD STE. 208
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1643
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Country | US
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Telephone | 314-908-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 827 SOUTH HANLEY ROAD #2N
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City | SAINT LOUIS
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State | MO
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Zip | 63105-2661
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Country | US
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Telephone | 314-721-5034
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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 | 005486
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License Number State | MO
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