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General NPI Number Information
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NPI Number | 1811972110
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Entity Type | Individual
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Provider Name | LAURA M. SPERRY A.N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 4860 Y ST STE 0100
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-6797
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Fax | 916-734-6525
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Provider Business Mailing Address
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Address Line | 4860 Y ST STE 3700
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-6797
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Fax | 916-734-6525
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP15184
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP15184
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License Number State | CA
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