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General NPI Number Information
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NPI Number | 1609050319
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Entity Type | Individual
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Provider Name | LAURA A. KOHLMANN R.N.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 900 WASHINGTON RD FAMILY PRACTICE CLINIC ROOM 1F19
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City | WEST POINT
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State | NY
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Zip | 10996-1109
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Country | US
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Telephone | 845-938-3244
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Fax | 845-938-6541
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Provider Business Mailing Address
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Address Line | 18 WINTERGREEN AVE
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City | NEWBURGH
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State | NY
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Zip | 12550-3033
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Country | US
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Telephone | 845-561-7005
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Fax | 845-938-6541
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 312393-1
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License Number State | NY
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