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General NPI Number Information
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NPI Number | 1992851091
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Entity Type | Individual
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Provider Name | ANDREA K. LAFFITTE M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2002 E CLARENDON AVE
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City | PHOENIX
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State | AZ
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Zip | 85016-6507
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Country | US
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Telephone | 602-381-6080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51044
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City | PHOENIX
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State | AZ
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Zip | 85076-1044
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Country | US
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Telephone | 602-276-8904
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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