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General NPI Number Information
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NPI Number | 1619903770
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Entity Type | Individual
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Provider Name | LAURA MARSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD MENTAL HEALTH CARE LINE 116; MICHAEL E. DEBAKEY VAMC
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-794-8907
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Fax | 501-228-8694
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Provider Business Mailing Address
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Address Line | 2002 HOLCOMBE BLVD MENTAL HEALTH CARE LINE 116; MICHAEL E. DEBAKEY VAMC
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-794-8907
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Fax | 501-228-8694
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D35752
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | D35752
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License Number State | MD
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