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General NPI Number Information
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NPI Number | 1538209655
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Entity Type | Individual
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Provider Name | LAURA LEE RESKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 1227 DE LA VINA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-3129
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Country | US
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Telephone | 805-699-0997
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Fax | 805-292-3209
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Provider Business Mailing Address
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Address Line | 333 OLD MILL RD SPC 66
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City | SANTA BARBARA
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State | CA
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Zip | 93110-4408
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Country | US
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Telephone | 765-620-4935
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G73390
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01040101A
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License Number State | IN
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