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General NPI Number Information
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NPI Number | 1609501717
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Entity Type | Individual
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Provider Name | LAURA K MARBURGER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 741 NE 6TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1556
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Country | US
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Telephone | 541-471-2701
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Fax | 541-471-1222
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Provider Business Mailing Address
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Address Line | 1701 NE 7TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-1319
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Country | US
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Telephone | 541-471-2701
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Fax | 541-471-1222
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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 | 202210805NP-PP
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License Number State | OR
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