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General NPI Number Information
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NPI Number | 1427461318
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Entity Type | Individual
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Provider Name | DR. LAURA KUSHNER
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 1634 EYE ST NW SUITE 700
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City | WASHINGTON
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State | DC
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Zip | 20006-4003
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Country | US
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Telephone | 202-888-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 8710 CAMERON ST UNIT 1023
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City | SILVER SPRING
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State | MD
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Zip | 20910-3703
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Country | US
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Telephone | 410-610-2901
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY1000975
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05064
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License Number State | MD
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