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General NPI Number Information
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NPI Number | 1992063051
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Entity Type | Individual
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Provider Name | LAURA KAY HUVLER LCDCIII
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 06/11/2018
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Provider Practice Location Address
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Address Line | 310 COLLEGE AVE
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City | ASHLAND
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State | OH
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Zip | 44805
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Country | US
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Telephone | 419-289-7675
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Fax |
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Provider Business Mailing Address
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Address Line | 84 YORKSHIRE RD
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City | LEXINGTON
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State | OH
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Zip | 44904-9566
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Country | US
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Telephone | 330-465-1989
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 060341
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 121077
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License Number State | OH
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