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General NPI Number Information
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NPI Number | 1699583229
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Entity Type | Individual
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Provider Name | LAURA PAGEL-STRATON
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 19730 GOVERNORS HWY STE 2
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2083
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Country | US
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Telephone | 708-794-8312
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Fax | 708-816-5587
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Provider Business Mailing Address
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Address Line | 18429 FRANCISCO AVE
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City | HOMEWOOD
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State | IL
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Zip | 60430-2818
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Country | US
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Telephone | 708-794-8312
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227008124
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License Number State | IL
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