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General NPI Number Information
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NPI Number | 1710859103
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Entity Type | Individual
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Provider Name | LAURA JOSEPHINE D'AMATO PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 143 N RAILROAD ST
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City | TAMAQUA
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State | PA
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Zip | 18252-1330
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Country | US
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Telephone | 570-645-1540
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Fax |
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Provider Business Mailing Address
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Address Line | 18 PEAR ST
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City | BARNESVILLE
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State | PA
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Zip | 18214-2401
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Country | US
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Telephone | 570-789-3573
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA067129
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License Number State | PA
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