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General NPI Number Information
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NPI Number | 1871873380
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Entity Type | Organization
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Legal Business Name | LAREDO EXAMINERS INC.
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 802 E SAUNDERS ST STE B
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City | LAREDO
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State | TX
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Zip | 78041-5824
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Country | US
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Telephone | 956-791-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 802 E SAUNDERS ST STE B
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City | LAREDO
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State | TX
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Zip | 78041-5824
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Country | US
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Telephone | 956-791-6992
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Fax |
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Authorized Official
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Title or Position | V.P.
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Name | MR. ROBERT MORAN
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Credential | FNP-BC
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Telephone | 956-791-6992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 630856
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License Number State | TX
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