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General NPI Number Information
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NPI Number | 1588740534
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Entity Type | Individual
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Provider Name | MRS. LAURALEE WOODRUFF
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 1919 SOUTH 40TH STREET SUITE 312
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City | LINCOLN
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State | NE
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Zip | 68506
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Country | US
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Telephone | 402-475-5069
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Fax | 402-475-2350
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Provider Business Mailing Address
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Address Line | 1919 SOUTH 40TH STREET SUITE 312
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City | LINCOLN
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State | NE
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Zip | 68506
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Country | US
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Telephone | 402-475-5069
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Fax | 402-475-2350
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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 | LIMHP # 1211
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHP # 2729
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License Number State | NE
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