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NPI 1669264404

NPI 1669264404 : LAURA E SMITH : RENO, NV

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General NPI Number Information
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    NPI Number           |    1669264404
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA E SMITH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2025
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    Last Update Date     |    05/19/2025
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Provider Practice Location Address
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    Address Line         |    1325 AIRMOTIVE WAY STE 240 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89502-3284
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    Country              |    US
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    Telephone            |    775-737-9001
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    Fax                  |    775-870-1628
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Provider Business Mailing Address
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    Address Line         |    1325 AIRMOTIVE WAY STE 240 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89502-3284
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    Country              |    US
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    Telephone            |    775-737-9001
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    Fax                  |    775-870-1628
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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       |    MI4505
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    License Number State |    NV
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