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General NPI Number Information
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NPI Number | 1780366294
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Entity Type | Individual
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Provider Name | LAURA MAINZINGER LGSW
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Gender | Female
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1700 Q ST SE
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City | WASHINGTON
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State | DC
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Zip | 20020-5518
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Country | US
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Telephone | 202-939-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 1157 OATES ST NE UNIT 1
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City | WASHINGTON
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State | DC
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Zip | 20002-3823
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Country | US
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Telephone | 630-518-8323
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | DC
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Taxonomy #3
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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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