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General NPI Number Information
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NPI Number | 1891800116
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Entity Type | Individual
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Provider Name | LAURA NORTON PETROVICH MD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 1224 10TH ST SUITE 200
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City | CORONADO
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State | CA
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Zip | 92118-3416
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Country | US
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Telephone | 619-435-2234
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Fax | 619-435-1784
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Provider Business Mailing Address
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Address Line | 1224 10TH ST SUITE 200
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City | CORONADO
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State | CA
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Zip | 92118-3416
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Country | US
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Telephone | 619-435-2234
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Fax | 619-435-1784
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A72085
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A72085
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License Number State | CA
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