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General NPI Number Information
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NPI Number | 1770848210
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Entity Type | Individual
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Provider Name | LAUREN E GROUSD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 443 CONGRESS ST. 3RD FLOOR PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
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City | PORTLAND
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State | ME
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Zip | 04101
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Country | US
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Telephone | 207-687-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 443 CONGRESS ST. 3RD FLOOR PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
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City | PORTLAND
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State | ME
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Zip | 04101
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Country | US
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Telephone | 207-687-3290
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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 | XL3881
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License Number State | ME
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