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General NPI Number Information
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NPI Number | 1992193361
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Entity Type | Individual
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Provider Name | LAUREN E COLES LPC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 2575 GENE GEORGE BLVD STE 100
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City | SPRINGDALE
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State | AR
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Zip | 72762-3180
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Country | US
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Telephone | 479-750-0125
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Fax | 479-750-0875
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Provider Business Mailing Address
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Address Line | 323 HOMEWOOD PL
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City | LOWELL
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State | AR
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Zip | 72745-9336
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Country | US
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Telephone | 479-365-0921
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A1501012
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P1704282
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License Number State | AR
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