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General NPI Number Information
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NPI Number | 1912409228
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Entity Type | Individual
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Provider Name | LAURA LEE JONES LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 438 W. SEED FARM ROAD
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City | SACATON
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State | AZ
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Zip | 85283
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Country | US
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Telephone | 520-562-3321
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Fax | 602-528-1341
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Provider Business Mailing Address
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Address Line | 1923 E OXFORD DR
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City | TEMPE
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State | AZ
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Zip | 85283-2345
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Country | US
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Telephone | 480-234-8893
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13454
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License Number State | AZ
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