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General NPI Number Information
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NPI Number | 1205236775
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Entity Type | Individual
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Provider Name | LAURA JEAN MAJOR LPN
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 460 S. MAIN ST BOX 99 APT 17C
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3026
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Country | US
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Telephone | 585-472-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 460 S. MAIN ST BOX 99 APT 17C
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3026
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Country | US
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Telephone | 585-472-1236
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 230758
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License Number State | NY
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