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General NPI Number Information
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NPI Number | 1568974566
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Entity Type | Individual
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Provider Name | LAURA H SCHWARTZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 15 AUSTIN AVE
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City | SAN ANSELMO
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State | CA
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Zip | 94960-2924
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Country | US
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Telephone | 415-388-4824
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PIZARRO AVE
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City | NOVATO
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State | CA
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Zip | 94949-6141
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Country | US
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Telephone | 415-215-4385
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS18166
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License Number State | CA
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