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General NPI Number Information
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NPI Number | 1902552508
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Entity Type | Individual
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Provider Name | LAURA MARIE BEARDEN APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 44 MCCOY AVE STE 133
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City | MADISONVILLE
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State | KY
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Zip | 42431-2867
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Country | US
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Telephone | 270-326-5422
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Fax | 270-326-5431
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Provider Business Mailing Address
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Address Line | PO BOX 23229
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City | OWENSBORO
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State | KY
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Zip | 42304-3229
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Country | US
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Telephone | 270-326-5422
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Fax | 270-356-5431
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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 | 71012295A
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License Number State | IN
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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 | 3017683
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License Number State | KY
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