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General NPI Number Information
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NPI Number | 1588271050
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Entity Type | Individual
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Provider Name | JAZMIN LAUS LMFTA
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Gender | Female
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 136 WEST ST STE 304
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City | PITTSBORO
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State | NC
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Zip | 27312-9470
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Country | US
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Telephone | 984-314-3338
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Fax | 336-900-1666
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Provider Business Mailing Address
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Address Line | 233 SERENITY HILL CIR
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City | CHAPEL HILL
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State | NC
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Zip | 27516-0390
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Country | US
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Telephone | 984-314-3338
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Fax | 336-900-1666
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20269A
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License Number State | NC
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