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General NPI Number Information
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NPI Number | 1679275127
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Entity Type | Individual
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Provider Name | MYCHAELA LAURIA MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1 WEST AVE STE 125
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6063
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Country | US
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Telephone | 757-953-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WEST AVE STE 125
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6063
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Country | US
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Telephone | 716-863-8317
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 331618-01
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License Number State | NY
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