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General NPI Number Information
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NPI Number | 1821543158
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH JAMES PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 2899 FIVE FORKS TRICKUM RD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-5803
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Country | US
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Telephone | 770-232-6983
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 HATHAWAY CT
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City | CHAMBLEE
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State | GA
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Zip | 30341-4639
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Country | US
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Telephone | 912-308-2886
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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 | PT012538
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License Number State | GA
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