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General NPI Number Information
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NPI Number | 1780702431
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Entity Type | Organization
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Legal Business Name | LAURIE LETEVE P.C.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9929 N. 95TH STREET SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 480-234-8667
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Fax | 480-767-7658
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Provider Business Mailing Address
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Address Line | 9929 N. 95TH STREET SUITE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 480-234-8667
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Fax | 480-767-7658
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAURIE B LETEVE
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Credential | L.C.S.W
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Telephone | 480-234-8667
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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 | LCSW-2680
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License Number State | AZ
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