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General NPI Number Information
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NPI Number | 1407709090
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Entity Type | Individual
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Provider Name | LAUREL OLIVER DFM
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1935 S HURSTBOURNE PKWY # 1023
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City | LOUISVILLE
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State | KY
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Zip | 40220-1645
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Country | US
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Telephone | 502-604-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 S HURSTBOURNE PKWY 1023
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City | LOUISVILLE
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State | KY
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Zip | 40220
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Country | US
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Telephone |
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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 | KY
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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 |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | KY
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