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General NPI Number Information
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NPI Number | 1902675606
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Entity Type | Individual
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Provider Name | LAUREN ELAINE ESQUINCA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 3120 LA PITA MANGANA ROAD UNIT 100
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City | LAREDO
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State | TX
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Zip | 78045
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Country | US
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Telephone | 956-568-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 4007 SHAHRAM DR
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City | LAREDO
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State | TX
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Zip | 78045-4505
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Country | US
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Telephone | 956-441-5276
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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 | 1145627
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License Number State | TX
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