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NPI 1497872501

NPI 1497872501 : LAURIE DENISE CARR ARRT,CRT : PALO ALTO, CA

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General NPI Number Information
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    NPI Number           |    1497872501
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    Entity Type          |    Individual 
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    Provider Name        |    LAURIE DENISE CARR ARRT,CRT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3801 MIRANDA AVE 
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    City                 |    PALO ALTO
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    State                |    CA
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    Zip                  |    94304-1207
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    Country              |    US
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    Telephone            |    650-493-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2447 ANNA DR APT A 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95050-4458
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    Country              |    US
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    Telephone            |    408-557-0548
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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        |    2471C3402X
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    Taxonomy Name        |    Radiography Radiologic Technologist
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    License Number       |    
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    License Number State |    
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