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General NPI Number Information
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NPI Number | 1417498106
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH COOPER LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 600 MONTICELLO ST STE 2
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City | SOMERSET
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State | KY
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Zip | 42501-2974
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Country | US
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Telephone | 606-401-2966
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Fax | 606-244-4111
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Provider Business Mailing Address
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Address Line | 1351 NEWTOWN PIKE
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City | LEXINGTON
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State | KY
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Zip | 40511-1275
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Country | US
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Telephone | 859-253-1686
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Fax | 859-254-2743
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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 | 258552
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License Number State | KY
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