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General NPI Number Information
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NPI Number | 1780403790
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Entity Type | Individual
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Provider Name | ABIGAIL MARIE LAUBENSTEIN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 2405 8TH ST S STE 200
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City | MOORHEAD
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State | MN
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Zip | 56560-4200
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Country | US
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Telephone | 218-331-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 1057 35TH ST N APT 207
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City | FARGO
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State | ND
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Zip | 58102-3187
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Country | US
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Telephone | 218-431-0004
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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 |
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License Number State |
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