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General NPI Number Information
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NPI Number | 1053159822
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Entity Type | Individual
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Provider Name | LAURA ROSE CARZADO RN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 700 HAWK RIDGE DR
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City | HAMBURG
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State | PA
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Zip | 19526-9219
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Country | US
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Telephone | 610-562-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone | 484-884-4500
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Fax | 484-884-0699
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP030339
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN629724
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SP030339
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License Number State | PA
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