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General NPI Number Information
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NPI Number | 1871648097
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Entity Type | Individual
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Provider Name | LAURA ANN POWELL LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 1991 LONGWOOD LAKE MARY RD
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City | LONGWOOD
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State | FL
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Zip | 32750-4620
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Country | US
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Telephone | 407-463-3500
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Fax | 407-699-0820
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Provider Business Mailing Address
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Address Line | PO BOX 521222
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City | LONGWOOD
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State | FL
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Zip | 32752-1222
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Country | US
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Telephone | 407-463-3500
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Fax | 407-699-0820
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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 | MH7424
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License Number State | FL
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