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General NPI Number Information
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NPI Number | 1396272282
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Entity Type | Individual
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Provider Name | LAURA AMBER WETZEL AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 05/22/2017
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Provider Practice Location Address
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Address Line | 127 S 5TH ST STE 170
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1682
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Country | US
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Telephone | 267-347-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 LOCUST VALLEY RD
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City | COOPERSBURG
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State | PA
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Zip | 18036-2448
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Country | US
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Telephone | 610-282-2270
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP016469
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP016469
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License Number State | PA
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