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General NPI Number Information
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NPI Number | 1932721875
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Entity Type | Individual
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Provider Name | LAURIE ANNE HAAGENSEN CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 11 N WATER ST FL 10
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City | MOBILE
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State | AL
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Zip | 36602-5010
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Country | US
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Telephone | 251-402-1388
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Fax | 251-644-6004
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Provider Business Mailing Address
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Address Line | PO BOX 91713
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City | MOBILE
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State | AL
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Zip | 36691-1713
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Country | US
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Telephone | 251-504-0925
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Fax | 251-644-6004
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F03200294
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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