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General NPI Number Information
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NPI Number | 1245554427
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Entity Type | Organization
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Legal Business Name | LAURA A PARRA, DDS, PA
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 3400 CROASDAILE DR SUITE 209
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City | DURHAM
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State | NC
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Zip | 27705-6815
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Country | US
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Telephone | 919-383-7020
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Fax | 919-383-3141
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Provider Business Mailing Address
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Address Line | 3400 CROASDAILE DR SUITE 209
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City | DURHAM
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State | NC
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Zip | 27705-6815
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Country | US
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Telephone | 919-383-7020
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Fax | 919-383-3141
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA ANN PARRA
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Credential | DDS
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Telephone | 919-383-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5415
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License Number State | NC
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