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General NPI Number Information
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NPI Number | 1245978097
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Entity Type | Individual
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Provider Name | EMMA P LAURASH MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST STE 15-200
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City | CHICAGO
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State | IL
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Zip | 60611-5967
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Country | US
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Telephone | 312-695-8182
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Fax | 312-695-4303
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Provider Business Mailing Address
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Address Line | 675 N SAINT CLAIR ST STE 15-200
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City | CHICAGO
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State | IL
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Zip | 60611-5967
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Country | US
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Telephone | 312-695-8182
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Fax | 312-695-4303
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.14264
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146017528
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License Number State | IL
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