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General NPI Number Information
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NPI Number | 1336693324
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Entity Type | Individual
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Provider Name | LAURA NICOLE TUBBS NP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306-2073
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306-2073
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Country | US
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Telephone | 888-731-8994
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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 | 287406
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 287406
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95070496
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95012408
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License Number State | CA
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