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General NPI Number Information
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NPI Number | 1144268970
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Entity Type | Individual
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Provider Name | LAURIE WRIGHT TREASTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 7095 WESTBRANCH HWY STE 1000
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City | LEWISBURG
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State | PA
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Zip | 17837-6864
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Country | US
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Telephone | 570-523-3006
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Fax | 570-523-0404
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR STE 306
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City | LEWISBURG
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State | PA
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Zip | 17837-9350
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Country | US
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Telephone | 570-522-4144
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Fax | 570-837-2185
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA001012
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA002743L
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License Number State | PA
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