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General NPI Number Information
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NPI Number | 1356966618
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Entity Type | Individual
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Provider Name | LAURA SCHLIESSER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 19751 SW 58TH ST
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City | HALLAM
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State | NE
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Zip | 68368-2055
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Country | US
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Telephone | 402-499-4553
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Fax |
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Provider Business Mailing Address
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Address Line | 19751 SW 58TH ST
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City | HALLAM
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State | NE
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Zip | 68368-2055
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Country | US
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Telephone | 402-499-4553
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 115427
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 72505
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License Number State | NE
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