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General NPI Number Information
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NPI Number | 1891599056
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Entity Type | Individual
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Provider Name | MRS. LAURA GRACE COEY
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Gender | Female
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 104 SPINK ST
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City | WOOSTER
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State | OH
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Zip | 44691-3652
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Country | US
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Telephone | 330-264-8498
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Fax |
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Provider Business Mailing Address
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Address Line | 1062 TOWNSHIP ROAD 1906
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City | ASHLAND
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State | OH
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Zip | 44805-9419
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Country | US
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Telephone | 419-651-6879
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2405859-TRNE
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License Number State | OH
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