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General NPI Number Information
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NPI Number | 1891474342
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Entity Type | Individual
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Provider Name | LAURA MCCARTY CADC I
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 9890 COUNTY FARM RD STE 1
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City | RIVERSIDE
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State | CA
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Zip | 92503-3678
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Country | US
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Telephone | 408-348-0114
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Fax |
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Provider Business Mailing Address
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Address Line | 991 W BLAINE ST APT 95
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City | RIVERSIDE
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State | CA
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Zip | 92507-3722
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Country | US
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Telephone | 408-348-0114
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CI44360924
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CI44360924
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License Number State | CA
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