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General NPI Number Information
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NPI Number | 1669895579
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Entity Type | Individual
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Provider Name | LAURA CARLY SCHOFF
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Gender | Female
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 2055 S PACHECO ST STE 500
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City | SANTA FE
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State | NM
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Zip | 87505-3994
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Country | US
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Telephone | 505-701-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 2746 LA BAJADA
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City | SANTA FE
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State | NM
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Zip | 87505-5332
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Country | US
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Telephone | 715-482-0256
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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 | CCMH0209341
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License Number State | NM
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