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General NPI Number Information
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NPI Number | 1265814768
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Entity Type | Individual
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Provider Name | VIOLET LAURA VORLET LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 1 BOARS HEAD PL STE 230
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4628
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Country | US
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Telephone | 503-468-9897
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BOARS HEAD PL STE 230
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4628
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Country | US
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Telephone | 503-468-9897
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Fax | 503-386-1402
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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 | CG60474816
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1381
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60801409
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001580
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License Number State | VA
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