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General NPI Number Information
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NPI Number | 1821345117
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Entity Type | Individual
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Provider Name | LAURA M MARSH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1524 EUBANK BLVD NE STE 6
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4160
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Country | US
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Telephone | 505-503-8806
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Fax | 888-503-8511
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Provider Business Mailing Address
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Address Line | PO BOX 95590
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City | ALBUQUERQUE
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State | NM
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Zip | 87199-5590
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Country | US
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Telephone | 505-503-8806
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Fax | 505-217-3950
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP-02008
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License Number State | NM
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