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General NPI Number Information
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NPI Number | 1588458194
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Entity Type | Individual
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Provider Name | LAUREN ALYSSA COE MS ED
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 4664 COUNTY HIGHWAY 23
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City | WALTON
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State | NY
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Zip | 13856-3389
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Country | US
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Telephone | 713-410-5607
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Fax |
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Provider Business Mailing Address
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Address Line | 130 BAY RIDGE PKWY APT 2E
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City | BROOKLYN
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State | NY
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Zip | 11209-2311
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Country | US
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Telephone | 203-767-4369
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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