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General NPI Number Information
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NPI Number | 1235344581
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Entity Type | Individual
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Provider Name | LAURA PARKER RN, CNP, CDE
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 2 BURNETT CT SUITE 100 AND 200
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City | DURANGO
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State | CO
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Zip | 81301-3647
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Country | US
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Telephone | 970-385-4022
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BURNETT CT SUITE 100 AND 200
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City | DURANGO
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State | CO
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Zip | 81301-3647
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Country | US
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Telephone | 970-385-4022
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP-01704
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License Number State | NM
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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 | R29347
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License Number State | NM
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