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General NPI Number Information
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NPI Number | 1497176317
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Entity Type | Individual
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Provider Name | LAURETTA CARLA THOMAS
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Gender | Female
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | 390 KENSINGTON PALACE AVE UNIT 101
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-5619
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Country | US
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Telephone | 702-375-3295
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Fax |
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Provider Business Mailing Address
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Address Line | 390 KENSINGTON PALACE AVE UNIT 101
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-5619
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Country | US
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Telephone | 702-375-3295
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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