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General NPI Number Information
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NPI Number | 1659502458
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Entity Type | Individual
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Provider Name | LAURA ISABEL VERAS MENA MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 3501 HEALTH CENTER BLVD STE 2200
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City | ESTERO
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State | FL
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Zip | 34135-8133
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Country | US
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Telephone | 239-495-4390
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-9722
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Fax | 239-343-9725
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME137663
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License Number State | FL
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