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General NPI Number Information
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NPI Number | 1649391426
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Entity Type | Individual
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Provider Name | LAURA L. EAKIN LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 344 PLACERVILLE DR STE 17
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City | PLACERVILLE
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State | CA
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Zip | 95667-3972
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Country | US
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Telephone | 530-621-6321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1655
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City | DIAMOND SPRINGS
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State | CA
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Zip | 95619-1655
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Country | US
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Telephone | 530-295-4929
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC29005
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License Number State | CA
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