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General NPI Number Information
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NPI Number | 1790343234
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Entity Type | Individual
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Provider Name | LAURA FLOWERS LPC, LMFT ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 1701 N COLLINS BLVD STE 126
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City | RICHARDSON
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State | TX
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Zip | 75080-3554
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Country | US
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Telephone | 972-346-5139
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 CALM MEADOW CT
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City | GARLAND
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State | TX
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Zip | 75044-3486
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Country | US
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Telephone | 972-322-5430
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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 | 76551
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License Number State | TX
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