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General NPI Number Information
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NPI Number | 1770107716
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Entity Type | Individual
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Provider Name | LAURA MCMASTER LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 19 LULLWATER PL NE
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City | ATLANTA
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State | GA
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Zip | 30307-1208
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Country | US
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Telephone | 478-278-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 BRIARCLIFF ROAD NORTHEAST PO BOX 133183
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City | ATLANTA
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State | GA
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Zip | 30333-3183
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Country | US
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Telephone | 470-727-6902
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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 | 001350
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License Number State | GA
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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 | 001350
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License Number State | GA
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