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General NPI Number Information
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NPI Number | 1891916565
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Entity Type | Individual
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Provider Name | LAURIE HAGGAR MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 41 STEINERT AVE
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City | TRENTON
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State | NJ
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Zip | 08619-2915
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Country | US
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Telephone | 609-361-8630
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Fax | 609-890-0704
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Provider Business Mailing Address
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Address Line | 20 VALERIE LN
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-2460
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Country | US
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Telephone | 609-890-1671
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Fax | 609-890-0704
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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 | 44SC00478100
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License Number State | NJ
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