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General NPI Number Information
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NPI Number | 1639047046
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Entity Type | Individual
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Provider Name | LAURA MARIE VALENCIA DNP, RN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 49725 COUNTY 83
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City | STAPLES
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State | MN
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Zip | 56479-5280
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Country | US
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Telephone | 218-894-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 450 SHANNON DR
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City | BIG LAKE
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State | MN
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Zip | 55309-3310
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3273
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License Number State | MN
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