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General NPI Number Information
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NPI Number | 1497381016
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Entity Type | Individual
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Provider Name | LAURA FRY LPC, RD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2020
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 6972 INGALLS ST
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City | ARVADA
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State | CO
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Zip | 80003-4110
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Country | US
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Telephone | 571-214-6694
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Fax |
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Provider Business Mailing Address
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Address Line | 6972 INGALLS ST
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City | ARVADA
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State | CO
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Zip | 80003-4110
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Country | US
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Telephone | 571-214-6694
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0023490
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1035600
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License Number State | CO
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