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General NPI Number Information
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NPI Number | 1871682823
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Entity Type | Individual
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Provider Name | LAURA LAMPERT SANDERSON M.A., MFT
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15720 VENTURA BLVD 507
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City | ENCINO
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State | CA
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Zip | 91436-2914
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Country | US
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Telephone | 818-905-7259
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Fax | 818-783-9522
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Provider Business Mailing Address
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Address Line | 17153 ALBERS ST
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City | ENCINO
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State | CA
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Zip | 91316-2602
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Country | US
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Telephone | 818-501-3307
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Fax | 818-783-9522
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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 | MFC20180
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License Number State | CA
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