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General NPI Number Information
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NPI Number | 1821543307
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Entity Type | Individual
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Provider Name | LAURA SERAZIN LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 1744 PAYNE AVE
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City | CLEVELAND
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State | OH
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Zip | 44114-2910
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Country | US
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Telephone | 216-623-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 32037 GROVE ST
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City | AVON LAKE
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State | OH
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Zip | 44012-1906
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Country | US
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Telephone | 440-213-6171
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2001721
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License Number State | OH
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