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General NPI Number Information
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NPI Number | 1891264727
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Entity Type | Individual
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Provider Name | LAURA ANN MCGOWAN FNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 310 MAIN ST
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City | STEILACOOM
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State | WA
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Zip | 98388-2104
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Country | US
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Telephone | 907-545-3049
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Fax |
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Provider Business Mailing Address
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Address Line | 411 W RAILROAD ST
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City | CLE ELUM
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State | WA
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Zip | 98922-1054
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Country | US
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Telephone | 907-545-3049
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 141905
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60763367
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License Number State | WA
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