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General NPI Number Information
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NPI Number | 1609889211
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Entity Type | Individual
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Provider Name | LAURALEE M PAKOZDI MS,PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 63 CHURCH ST
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City | FLEMINGTON
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State | NJ
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Zip | 08822-2197
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Country | US
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Telephone | 908-237-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 215 STATE ROUTE 31 RM 116
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5752
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Country | US
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Telephone | 908-284-1125
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Fax | 908-284-2016
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00162300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 25MP00162300
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License Number State | NJ
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