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General NPI Number Information
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NPI Number | 1942378732
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Entity Type | Individual
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Provider Name | LAURIE H. SAUBER MSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6817 FAIRVIEW RD STE B
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City | CHARLOTTE
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State | NC
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Zip | 28210-3598
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Country | US
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Telephone | 704-365-6260
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Fax | 704-365-6266
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Provider Business Mailing Address
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Address Line | 6327 SETON HOUSE LN
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City | CHARLOTTE
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State | NC
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Zip | 28277-4523
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Country | US
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Telephone | 704-847-8268
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Fax | 704-847-8329
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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 | C000758
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 106218
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License Number State | MA
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