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General NPI Number Information
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NPI Number | 1497806921
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Entity Type | Individual
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Provider Name | LAURA ANN RUMMEL P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1440 N HARBOR BLVD STE 300
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City | FULLERTON
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State | CA
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Zip | 92835-4116
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Country | US
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Telephone | 714-526-7546
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Fax | 714-526-7547
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Provider Business Mailing Address
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Address Line | 12700 PARK CENTRAL DR STE 1210
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City | DALLAS
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State | TX
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Zip | 75251-1522
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Country | US
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Telephone | 702-360-2763
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Fax | 949-783-2800
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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 | PA 17528
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License Number State | CA
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