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General NPI Number Information
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NPI Number | 1104146364
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Entity Type | Individual
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Provider Name | LAURA MARIE SCORR MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 111 S 11TH ST STE 2170
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4824
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Country | US
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Telephone | 215-955-6610
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Fax |
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Provider Business Mailing Address
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Address Line | WESLEY WOODS HEALTH CTR 1841 CLIFTON RD, NE
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 215-510-6532
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 71870
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License Number State | GA
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