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General NPI Number Information
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NPI Number | 1902297047
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Entity Type | Individual
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Provider Name | LAURA CARSON SHAIN LPC, MA, LAC, SOMB
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Gender | Female
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 10090 W 26TH AVE UNIT 100
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City | LAKEWOOD
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State | CO
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Zip | 80215-1400
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Country | US
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Telephone | 720-663-7824
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Fax |
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Provider Business Mailing Address
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Address Line | 9725 W 21ST AVE
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City | LAKEWOOD
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State | CO
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Zip | 80215-1531
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Country | US
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Telephone | 251-422-5842
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPCC.0013936
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License Number State | CO
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