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General NPI Number Information
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NPI Number | 1013277391
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Entity Type | Individual
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Provider Name | LAURA MAE ARMSTRONG O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 2021 NE ALBERTA ST
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City | PORTLAND
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State | OR
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Zip | 97211-5847
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Country | US
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Telephone | 503-384-2489
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Fax | 503-379-9488
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Provider Business Mailing Address
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Address Line | 2021 NE ALBERTA ST
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City | PORTLAND
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State | OR
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Zip | 97211-5847
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Country | US
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Telephone | 503-384-2489
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Fax | 503-379-9488
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3473ATI
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 3473ATI
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 3473ATI
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License Number State | OR
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