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General NPI Number Information
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NPI Number | 1497178263
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Entity Type | Individual
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Provider Name | LAURIE J EVANS-SCHOENECKER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 250 BIRDIE HILLS RD
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City | SAINT PETERS
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State | MO
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Zip | 63376-1929
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Country | US
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Telephone | 314-308-6411
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Fax | 636-978-9517
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Provider Business Mailing Address
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Address Line | 10 LONGVIEW ESTATES DR
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City | O FALLON
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State | MO
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Zip | 63368-6931
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Country | US
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Telephone | 314-308-6411
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Fax | 636-978-9517
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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 | 2014008646
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License Number State | MO
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