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General NPI Number Information
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NPI Number | 1962352021
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Entity Type | Organization
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Legal Business Name | LAUREL LASER & SURGERY CENTER, L.P.
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 52 WATERFORD PIKE
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City | BROOKVILLE
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State | PA
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Zip | 15825-2599
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Country | US
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Telephone | 814-849-0898
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Fax | 814-849-8963
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Provider Business Mailing Address
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Address Line | 52 WATERFORD PIKE
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City | BROOKVILLE
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State | PA
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Zip | 15825-2599
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Country | US
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Telephone | 814-849-6561
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Fax | 814-849-8963
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/ADMINISTRATOR
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Name | WHITNEY N SUTLEY
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Credential |
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Telephone | 814-849-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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