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General NPI Number Information
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NPI Number | 1538971973
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Entity Type | Individual
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Provider Name | LAURA STRAUSBURG-SMITH
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 101 S MERIDIAN ST STE 201
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City | PORTLAND
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State | IN
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Zip | 47371-2112
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Country | US
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Telephone | 260-251-6928
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Fax |
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Provider Business Mailing Address
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Address Line | 814 W 400 N
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City | PORTLAND
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State | IN
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Zip | 47371-7975
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Country | US
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Telephone | 260-251-0494
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 99123523A
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License Number State | IN
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