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General NPI Number Information
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NPI Number | 1396216099
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Entity Type | Individual
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Provider Name | LAURA BETTE LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 5427 E. MADERA ST.
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City | TUCSON
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State | AZ
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Zip | 85708-4402
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Country | US
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Telephone | 520-228-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 5427 E. MADERA ST.
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City | TUCSON
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State | AZ
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Zip | 85708
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Country | US
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Telephone | 520-808-9880
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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 | LCSW-17128
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License Number State | AZ
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