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General NPI Number Information
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NPI Number | 1558767996
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Entity Type | Individual
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Provider Name | LAURA DOSS BA, AAC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 07/24/2021
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Provider Practice Location Address
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Address Line | 1100 HANCOCK ST
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City | SAINT PAUL
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State | MN
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Zip | 55106-5336
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Country | US
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Telephone | 425-350-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 3367 CHERRY LN UNIT C
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City | WOODBURY
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State | MN
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Zip | 55129-7750
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Country | US
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Telephone | 425-350-3071
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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 | CG60198895
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | MN
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