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General NPI Number Information
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NPI Number | 1871690123
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Entity Type | Individual
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Provider Name | LAURA BETH WOODRING M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 121 HARVEST LN.
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City | MT. WASHINGTON
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State | KY
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Zip | 40047-5813
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Country | US
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Telephone | 502-432-0782
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Fax | 502-538-8213
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Provider Business Mailing Address
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Address Line | 121 HARVEST LANE
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City | MOUNT WASHINGTON
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State | KY
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Zip | 40047
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Country | US
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Telephone | 502-432-0782
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Fax | 504-538-8213
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | KY-2583
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License Number State | KY
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