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General NPI Number Information
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NPI Number | 1487775185
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Entity Type | Individual
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Provider Name | LAURIE ANN SMITH LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 101 JOSE FIGUERES AVE FIRST FLOOR
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City | SAN JOSE
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State | CA
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Zip | 95116-2068
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Country | US
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Telephone | 408-347-3128
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Fax | 408-347-3135
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Provider Business Mailing Address
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Address Line | 101 JOSE FIGUERES AVE FIRST FLOOR
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City | SAN JOSE
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State | CA
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Zip | 95116-2068
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Country | US
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Telephone | 408-347-3128
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Fax | 408-347-3135
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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 | 26690
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License Number State | CA
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