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General NPI Number Information
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NPI Number | 1790469740
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Entity Type | Individual
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Provider Name | LAURA SCHRADER DNP, AG-ACNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-2621
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Country | US
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Telephone | 404-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 34729 9TH PL SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-8440
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN336363
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License Number State | GA
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