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General NPI Number Information
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NPI Number | 1518930072
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Entity Type | Individual
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Provider Name | LAURA ENTREKIN NP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER DR.
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City | SLIDELL
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State | LA
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Zip | 70461
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Country | US
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Telephone | 985-893-1070
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Fax | 985-893-1083
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Provider Business Mailing Address
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Address Line | 202 KIPLING LN
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City | MANDEVILLE
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State | LA
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Zip | 70448-6385
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Country | US
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Telephone | 985-516-4345
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN081665 APO4322
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License Number State | LA
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