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General NPI Number Information
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NPI Number | 1629395280
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Entity Type | Individual
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Provider Name | LAURA KAYE JOHNSON-HUGHES LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2010
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 1010 E WEST MAPLE RD
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City | WALLED LAKE
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State | MI
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Zip | 48390-3571
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Country | US
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Telephone | 248-313-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 45594 BRISTOL CIR
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City | NOVI
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State | MI
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Zip | 48377-3888
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Country | US
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Telephone | 248-762-1852
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Fax | 248-960-7634
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801069732
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801069732
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License Number State | MI
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