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General NPI Number Information
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NPI Number | 1093176083
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Entity Type | Individual
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Provider Name | LAURA CHRISTENSEN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 1200 HILYARD ST
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City | EUGENE
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State | OR
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Zip | 97401-8122
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Country | US
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Telephone | 541-205-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3917 SUNGLOW DR
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City | REDDING
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State | CA
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Zip | 96001-6148
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Country | US
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Telephone | 541-337-4789
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-D-10174369
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License Number State | OR
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