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General NPI Number Information
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NPI Number | 1730341538
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Entity Type | Organization
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Legal Business Name | LAURA R. KORMAN DC PA
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 20101 PEACHLAND BLVD UNIT 209
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-2180
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Country | US
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Telephone | 941-629-6700
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Fax | 941-629-6805
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Provider Business Mailing Address
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Address Line | 20101 PEACHLAND BLVD UNIT 209
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City | PORT CHARLOTTE
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State | FL
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Zip | 33954-2180
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Country | US
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Telephone | 941-629-6700
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Fax | 941-629-6805
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA R KORMAN
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Credential | D.C.
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Telephone | 941-629-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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