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General NPI Number Information
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NPI Number | 1497333421
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Entity Type | Individual
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Provider Name | LAURA MARIE PINKSTAFF LPC
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Gender | Female
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 409 VANDIVER DR STE 100
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City | COLUMBIA
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State | MO
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Zip | 65202-3754
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Country | US
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Telephone | 314-325-9811
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Fax |
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Provider Business Mailing Address
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Address Line | 4014 FAUROT DR
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City | COLUMBIA
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State | MO
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Zip | 65203-0312
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Country | US
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Telephone | 314-328-4607
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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 | 2021011820
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License Number State | MO
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