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General NPI Number Information
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NPI Number | 1528346095
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH SAMWORTH MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 4482 KATHALEEN ST.
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City | HAMBURG
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State | NY
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Zip | 14075
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Country | US
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Telephone | 716-499-9227
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Fax | 716-648-8663
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Provider Business Mailing Address
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Address Line | 4482 KATHALEEN ST.
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City | HAMBURG
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State | NY
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Zip | 14075
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Country | US
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Telephone | 716-499-9227
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Fax | 716-648-8663
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 021205
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 021205-1
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License Number State | NY
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