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General NPI Number Information
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NPI Number | 1619042462
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Entity Type | Individual
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Provider Name | LAURA DETTI MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-798-1750
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Fax |
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Provider Business Mailing Address
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Address Line | 6651 MAIN ST STE 1020
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City | HOUSTON
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State | TX
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Zip | 77030-2351
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Country | US
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Telephone | 832-826-7313
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 47592
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 47592
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 4301084580
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 44077
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 47930
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 48636
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 47930
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License Number State | TX
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