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General NPI Number Information
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NPI Number | 1821409954
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Entity Type | Individual
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Provider Name | LAURA HARFORD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 3959 BROADWAY FL 6
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City | NEW YORK
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State | NY
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Zip | 10032-1559
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Country | US
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Telephone | 212-305-0924
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Fax |
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Provider Business Mailing Address
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Address Line | 3938 58TH ST APT 2R
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City | WOODSIDE
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State | NY
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Zip | 11377-3352
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Country | US
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Telephone | 347-413-3574
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 022574
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License Number State | NY
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