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General NPI Number Information
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NPI Number | 1033366372
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Entity Type | Individual
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Provider Name | MRS. LAURA CHRISTINE FAIRFIELD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 22212 ROAD 236
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City | LINDSAY
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State | CA
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Zip | 93247-9721
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Country | US
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Telephone | 559-562-6549
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 MIRASSON AVE
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City | TULARE
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State | CA
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Zip | 93274-0892
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Country | US
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Telephone | 559-685-1001
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN161634
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License Number State | CA
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