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General NPI Number Information
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NPI Number | 1861616575
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Entity Type | Individual
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Provider Name | LAURIE L JUNKER AUD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 201 PENN CENTER BOULEVARD SUITE 520
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City | PITTSBURGH
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State | PA
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Zip | 15235
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Country | US
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Telephone | 412-823-8251
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Fax | 412-823-8258
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Provider Business Mailing Address
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Address Line | 8800 SE SUNNYSIDE RD SUITE 300-N
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City | CLACKAMAS
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State | OR
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Zip | 97015-5738
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Country | US
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Telephone | 503-659-5115
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Fax | 503-659-5968
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT000880-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT000880L
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License Number State | PA
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