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General NPI Number Information
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NPI Number | 1144225780
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Entity Type | Individual
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Provider Name | LAURA LYNN HERSHKOWITZ D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 316 MARTIN LUTHER KING JR WAY #408
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City | TACOMA
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State | WA
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Zip | 98405-4252
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Country | US
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Telephone | 253-403-0344
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Fax |
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Provider Business Mailing Address
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Address Line | 316 MARTIN LUTHER KING JR WAY #408
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City | TACOMA
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State | WA
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Zip | 98405-4252
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Country | US
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Telephone | 253-403-0344
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | OS010193L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #10
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OP60100685
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License Number State | WA
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Taxonomy #12
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | OPO60100685
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License Number State | WA
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Taxonomy #13
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OP60100685
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License Number State | WA
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