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General NPI Number Information
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NPI Number | 1396146973
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Entity Type | Individual
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Provider Name | LAURA G GUFAROTTI M.S.ED
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 20 N BROADWAY APT H338
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2112
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Country | US
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Telephone | 914-309-9576
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Fax |
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Provider Business Mailing Address
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Address Line | 20 N BROADWAY APT H338
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City | WHITE PLAINS
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State | NY
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Zip | 10601-2112
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Country | US
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Telephone | 914-309-9576
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 865509141
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 865555141
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License Number State | NY
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