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General NPI Number Information
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NPI Number | 1619504396
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Entity Type | Individual
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Provider Name | AMY CLAIRE LASER LCSW, AADC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 210 S. PULASKI ST.
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City | LITTLE ROCK
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State | AR
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Zip | 72201
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Country | US
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Telephone | 501-456-4515
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Fax | 501-295-0005
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Provider Business Mailing Address
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Address Line | 6834 CANTRELL RD. STE. 1187
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City | LITTLE ROCK
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State | AR
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Zip | 72207
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Country | US
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Telephone | 769-487-7529
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Fax | 501-295-0005
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A-462
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License Number State | AR
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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 | 9108-C
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | AR-9108-C
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License Number State | AR
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