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General NPI Number Information
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NPI Number | 1649878505
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Entity Type | Individual
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Provider Name | LEONOR I LARA LCPC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5850 WATERLOO RD STE 230
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City | COLUMBIA
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State | MD
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Zip | 21045-1943
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Country | US
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Telephone | 410-757-2077
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Fax |
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Provider Business Mailing Address
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Address Line | 12320 PARKLAWN DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-1726
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Country | US
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Telephone | 240-801-6221
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP7348
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC12622
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License Number State | MD
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