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General NPI Number Information
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NPI Number | 1790151744
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Entity Type | Individual
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Provider Name | LAURA HERTZFELD KATZ
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Gender | Female
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 1143-B EXECUTIVE CIRCLE SUITE 101
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City | CARY
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State | NC
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Zip | 27511-8707
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Country | US
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Telephone | 919-371-2850
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Fax |
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Provider Business Mailing Address
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Address Line | 963 N. HARRISON AVE. PMB 124
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City | CARY
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State | NC
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Zip | 27513-8707
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Country | US
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Telephone | 919-371-2850
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1327
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License Number State | NC
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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 | 30712
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License Number State | CA
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