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General NPI Number Information
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NPI Number | 1306838032
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Entity Type | Individual
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Provider Name | LAURIE SAWIN-QUINN MPT
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Gender | Female
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 2450 EL CAMINO REAL STE 101
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City | PALO ALTO
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State | CA
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Zip | 94306-1706
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Country | US
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Telephone | 650-565-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 ALAMEDA DE LAS PUGAS
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 650-233-9873
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT 22234
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License Number State | CA
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