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NPI 1598419038

NPI 1598419038 : MS. LAURA APPLEWHITE : MT PLEASANT, TX

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General NPI Number Information
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    NPI Number           |    1598419038
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    Entity Type          |    Individual 
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    Provider Name        |    MS. LAURA APPLEWHITE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/03/2022
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    Last Update Date     |    02/03/2022
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Provider Practice Location Address
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    Address Line         |    167 COUNTY ROAD 3913 
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    City                 |    MT PLEASANT
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    State                |    TX
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    Zip                  |    75455-7709
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    Country              |    US
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    Telephone            |    903-717-1705
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    167 COUNTY ROAD 3913 
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    City                 |    MT PLEASANT
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    State                |    TX
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    Zip                  |    75455-7709
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    Country              |    US
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    Telephone            |    
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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