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General NPI Number Information
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NPI Number | 1477703973
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Entity Type | Individual
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Provider Name | LAURA A. HENSON APN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 2521 ALMA HWY
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City | VAN BUREN
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State | AR
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Zip | 72956-5015
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Country | US
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Telephone | 877-522-1275
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Fax | 833-888-7145
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Provider Business Mailing Address
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Address Line | 500 SW 7TH ST STE A205
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City | RENTON
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State | WA
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Zip | 98057-2983
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Country | US
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Telephone | 509-222-1275
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Fax | 509-491-3031
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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 | A003081
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License Number State | AR
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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 | A03081
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License Number State | AR
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