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General NPI Number Information
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NPI Number | 1003054735
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Entity Type | Individual
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Provider Name | VALERIE MACLAURIN APRN, CPNP-AC/PC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 5339 N IH 35 STE 100
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City | AUSTIN
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State | TX
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Zip | 78723-2558
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Country | US
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Telephone | 512-628-1898
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Fax | 512-600-1849
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Provider Business Mailing Address
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Address Line | 1301 BARBARA JORDAN BLVD STE 200
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City | AUSTIN
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State | TX
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Zip | 78723-3078
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Country | US
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Telephone | 512-628-1820
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Fax | 512-628-1820
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 666063
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License Number State | TX
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