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General NPI Number Information
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NPI Number | 1710692132
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Entity Type | Individual
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Provider Name | LAURA SARSONY
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Gender | Female
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 307 N 2ND ST W
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City | MISSOULA
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State | MT
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Zip | 59802-3616
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Country | US
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Telephone | 919-622-6354
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 BANKSVILLE RD # 1121
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City | PITTSBURGH
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State | PA
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Zip | 15216-2809
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-LIC-57288
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License Number State | MT
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