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General NPI Number Information
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NPI Number | 1629153598
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Entity Type | Individual
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Provider Name | LAURIE ELLEN SCHWEITZER M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 2999 REGENT ST STE 300
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City | BERKELEY
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State | CA
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Zip | 94705
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Country | US
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Telephone | 510-548-1717
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Fax | 510-548-1715
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Provider Business Mailing Address
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Address Line | 2999 REGENT ST STE 300
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City | BERKELEY
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State | CA
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Zip | 94705-2152
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Country | US
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Telephone | 510-548-1717
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Fax | 510-548-1715
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | G71395
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License Number State | CA
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