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General NPI Number Information
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NPI Number | 1417559279
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Entity Type | Individual
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Provider Name | LAURA K TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO DR SE BLDG 41
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5153
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Country | US
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Telephone | 505-846-1483
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Fax |
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Provider Business Mailing Address
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Address Line | 13031 SANDIA POINT RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-8321
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Country | US
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Telephone | 816-304-8847
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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