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General NPI Number Information
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NPI Number | 1760140131
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Entity Type | Individual
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Provider Name | LAURAH PASTEL SHAMES LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/02/2021
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 2000 N BAYSHORE DR APT 607
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City | MIAMI
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State | FL
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Zip | 33137-5116
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Country | US
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Telephone | 787-564-9093
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Fax |
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Provider Business Mailing Address
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Address Line | 1065 SW 8TH ST STE 1142
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City | MIAMI
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State | FL
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Zip | 33130-3601
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Country | US
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Telephone | 786-909-7995
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18779
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License Number State | FL
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