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NPI 1750715199

NPI 1750715199 : MS. LAURA ANN NERONE : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1750715199
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    Entity Type          |    Individual 
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    Provider Name        |    MS. LAURA ANN NERONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/21/2013
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    145 E 125TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10035-1714
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    Country              |    US
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    Telephone            |    646-595-7440
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    Fax                  |    646-595-7440
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Provider Business Mailing Address
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    Address Line         |    619 W NINTH ST 
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    City                 |    TRAVERSE CITY
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    State                |    MI
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    Zip                  |    49684-3127
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    101073
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    License Number State |    NY
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