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General NPI Number Information
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NPI Number | 1508868589
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Entity Type | Individual
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Provider Name | LAURA BETH SCHWERIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 4060 SUMMERLINN DR
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City | WEST LINN
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State | OR
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Zip | 97068-5109
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Country | US
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Telephone | 503-501-7995
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Fax | 619-639-1337
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Provider Business Mailing Address
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Address Line | 4060 SUMMERLINN DR
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City | WEST LINN
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State | OR
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Zip | 97068-5109
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Country | US
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Telephone | 503-501-7995
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Fax | 619-639-1337
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0005631
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 21854
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1285
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License Number State | OR
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