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General NPI Number Information
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NPI Number | 1891548830
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Entity Type | Individual
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Provider Name | LAURA PERRONE PHD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1860 SOUTH AVE FL 1
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City | ROCHESTER
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State | NY
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Zip | 14620-4229
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Country | US
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Telephone | 585-279-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 70 LINDEN OAKS FL 3
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City | ROCHESTER
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State | NY
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Zip | 14625-2804
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Country | US
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Telephone | 585-204-0268
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 027362-01
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License Number State | NY
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