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General NPI Number Information
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NPI Number | 1285318915
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Entity Type | Individual
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Provider Name | LAURA JOPP MA
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 2388 UNIVERSITY AVE W STE 202
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City | SAINT PAUL
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State | MN
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Zip | 55114-1769
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Country | US
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Telephone | 800-945-2401
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Fax |
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY AVE SE APT 206
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-1758
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Country | US
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Telephone | 651-587-0944
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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