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General NPI Number Information
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NPI Number | 1225854458
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Entity Type | Individual
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Provider Name | ANNABELLE LAUCKS
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2350 FREEDOM WAY STE 102
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City | YORK
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State | PA
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Zip | 17402-8265
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Country | US
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Telephone | 717-741-9536
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Fax |
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Provider Business Mailing Address
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Address Line | 2794 VIREO RD
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City | YORK
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State | PA
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Zip | 17403-9509
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP030478
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | XX
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License Number State | PA
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