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General NPI Number Information
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NPI Number | 1013893775
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Entity Type | Individual
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Provider Name | LAURA MARGARET KIESCHNICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1309 HIGHWAY 35 N
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City | ROCKPORT
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State | TX
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Zip | 78382-3342
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Country | US
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Telephone | 361-790-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 18111 FM 630
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City | ODEM
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State | TX
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Zip | 78370-4151
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Country | US
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Telephone | 361-522-9455
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 76126
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License Number State | TX
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