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General NPI Number Information
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NPI Number | 1992965099
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Entity Type | Individual
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Provider Name | LAURA C JENSEN NORBERG MM, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 110 LA CASA VIA STE 205
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-464-3916
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Fax |
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Provider Business Mailing Address
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Address Line | 931 WOODLAND DR
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City | SAN RAMON
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State | CA
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Zip | 94582-2336
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Country | US
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Telephone | 925-817-9593
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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