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General NPI Number Information
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NPI Number | 1780526533
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Entity Type | Individual
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Provider Name | MR. GERARD HENRY LAURENT
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Gender | Male
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 450 CLARKSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-2012
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Country | US
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Telephone | 718-270-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 17 THAYER ST APT 2
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City | PROVIDENCE
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State | RI
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Zip | 02906-1076
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Country | US
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Telephone | 954-621-6467
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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