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General NPI Number Information
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NPI Number | 1932207776
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH SOMOGYI M.S.W., L.B.S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 579 N RIVERSIDE AVE APT. # 8
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City | SAINT CLAIR
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State | MI
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Zip | 48079-5476
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Country | US
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Telephone | 810-392-2167
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Fax | 810-392-2067
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Provider Business Mailing Address
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Address Line | PO BOX 41038
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City | MEMPHIS
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State | MI
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Zip | 48041-1038
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Country | US
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Telephone | 810-300-6409
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 500044
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License Number State | MI
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