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General NPI Number Information
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NPI Number | 1619682598
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Entity Type | Individual
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Provider Name | LAURA BYRON ANDERSON AMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 14375 SARATOGA AVE STE 204
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City | SARATOGA
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State | CA
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Zip | 95070-5989
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Country | US
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Telephone | 408-533-9981
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 MOUNT CARMEL DR
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City | SAN JOSE
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State | CA
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Zip | 95120-1925
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Country | US
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Telephone | 925-337-5737
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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 | APCC12914
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License Number State | CA
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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 | AMFT137013
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License Number State | CA
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