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General NPI Number Information
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NPI Number | 1821053257
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Entity Type | Individual
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Provider Name | LAURA CATHERINE CORMIER P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 526 14TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-3434
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Country | US
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Telephone | 205-345-4441
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Fax | 205-758-8880
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Provider Business Mailing Address
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Address Line | 2518 19TH ST E
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City | TUSCALOOSA
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State | AL
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Zip | 35404-4907
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Country | US
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Telephone | 205-507-0880
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH1967
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License Number State | AL
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