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General NPI Number Information
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NPI Number | 1013975689
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Entity Type | Individual
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Provider Name | LAURA MARIE LUX P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 544 CAMPBELL AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-4401
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Country | US
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Telephone | 203-937-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 40 AVALON DR UNIT 6232
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City | MILFORD
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State | CT
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Zip | 06460-8954
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Country | US
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Telephone | 610-639-1489
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-013710-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 007886
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License Number State | CT
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