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General NPI Number Information
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NPI Number | 1568803286
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Entity Type | Individual
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Provider Name | LAURA ANN HOLLYWOOD CNM, FNP, WHCP, ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 4250 HATTON ROGERS LN
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-7813
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Country | US
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Telephone | 239-656-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 SW 44TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-6207
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Country | US
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Telephone | 845-597-6051
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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 | ARNP 9363011
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License Number State | FL
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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 | F335124-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F420883-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F000739-1
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License Number State | NY
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