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General NPI Number Information
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NPI Number | 1972980233
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Entity Type | Individual
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Provider Name | LAURA M. COTE GONZALEZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 345 BLACKSTONE BLVD
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City | PROVIDENCE
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State | RI
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Zip | 02906-4800
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Country | US
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Telephone | 401-455-6200
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Fax | 401-455-6689
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Provider Business Mailing Address
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Address Line | 11 S ANGELL ST # 133
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City | PROVIDENCE
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State | RI
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Zip | 02906-5206
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Country | US
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Telephone | 619-929-2129
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY.0004230
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS01925
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License Number State | RI
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