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General NPI Number Information
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NPI Number | 1801528740
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Entity Type | Individual
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Provider Name | LAURA QUEIROZ DASILVA MA EDM CERTIFIED
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 850 N 22ND ST APT 3R
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1457
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Country | US
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Telephone | 516-712-5714
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Fax |
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Provider Business Mailing Address
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Address Line | 850 N 22ND ST APT 3R
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City | PHILADELPHIA
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State | PA
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Zip | 19130-1457
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Country | US
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Telephone | 516-712-5714
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1517937211
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2758609
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License Number State | PA
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