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General NPI Number Information
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NPI Number | 1699220590
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Entity Type | Individual
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Provider Name | LAURIE LEIGH LINSLEY MS
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Gender | Female
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Dates
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Enumeration Date | 08/20/2016
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 11716 ENTERPRISE DR
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City | AUBURN
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State | CA
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Zip | 95603-3732
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Country | US
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Telephone | 530-886-2852
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Fax | 530-889-6735
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Provider Business Mailing Address
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Address Line | 3450 PALMER DR # 4-156
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City | CAMERON PARK
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State | CA
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Zip | 95682-8253
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Country | US
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Telephone | 530-919-8008
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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 | 113115
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 110632
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License Number State | CA
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