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General NPI Number Information
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NPI Number | 1689308637
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Entity Type | Individual
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Provider Name | LAURA WIGGINS ANDERSON MS, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 9786 TIMBER CIR STE A
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City | DAPHNE
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State | AL
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Zip | 36527-5460
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Country | US
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Telephone | 251-298-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 31895 BOBWHITE RD
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City | SPANISH FORT
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State | AL
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Zip | 36527-5912
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Country | US
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Telephone | 251-391-9001
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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 | LPC05036
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License Number State | AL
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