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General NPI Number Information
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NPI Number | 1093058463
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Entity Type | Individual
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Provider Name | LAURA ELLEN PURDY MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 23693B CALABASAS RD STE 100
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City | CALABASAS
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State | CA
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Zip | 91302-1502
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Country | US
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Telephone | 818-493-7588
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 BIRD RD UNIT 650
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City | MIAMI
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State | FL
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Zip | 33155-3708
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Country | US
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Telephone | 754-223-9851
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2018-01536
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 56179
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A158424
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 55905
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License Number State | TN
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