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General NPI Number Information
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NPI Number | 1861076804
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Entity Type | Individual
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Provider Name | LAURA GIL STRAWN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 601 DALLAS HWY
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City | VILLA RICA
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State | GA
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Zip | 30180-1202
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Country | US
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Telephone | 770-812-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2187 RANDO LN NW
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City | ATLANTA
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State | GA
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Zip | 30318-1923
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Country | US
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Telephone | 706-799-7024
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN249075
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License Number State | GA
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