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General NPI Number Information
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NPI Number | 1457903346
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Entity Type | Individual
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Provider Name | LAURA ANN ANDERSON WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1031 BELLEVUE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1818
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Country | US
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Telephone | 314-617-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 18 COACH LINE DR
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City | O FALLON
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State | MO
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Zip | 63368-8104
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Country | US
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Telephone | 636-379-0687
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2017044031
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License Number State | MO
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