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General NPI Number Information
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NPI Number | 1508133422
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Entity Type | Individual
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Provider Name | LAURA LYNN STRAUSS P.A.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 5401 NORRIS CANYON RD STE 102
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City | SAN RAMON
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State | CA
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Zip | 94583-5406
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Country | US
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Telephone | 925-277-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 695 CALMAR VISTA RD
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City | DANVILLE
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State | CA
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Zip | 94526-2303
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Country | US
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Telephone | 415-717-3805
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50951
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License Number State | CA
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