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General NPI Number Information
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NPI Number | 1821465667
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Entity Type | Organization
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Legal Business Name | LAURA A. STAUBES BSN-RN, PLLC
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 392 FISH RD
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City | ITHACA
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State | NY
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Zip | 14850-9325
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Country | US
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Telephone | 607-280-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 392 FISH RD
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City | ITHACA
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State | NY
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Zip | 14850-9325
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Country | US
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Telephone | 607-280-9961
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | LAURA ANN STAUBES
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Credential | RN
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Telephone | 607-280-9961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 625566-1
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License Number State | NY
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