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General NPI Number Information
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NPI Number | 1083044135
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Entity Type | Individual
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Provider Name | LAURA BAUDERS CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 6709 ACADEMY RD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3363
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Country | US
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Telephone | 505-308-3145
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Fax | 505-308-3147
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Provider Business Mailing Address
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Address Line | 6709 ACADEMY RD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3363
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 54395
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN324036L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AC006505
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License Number State | MD
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