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General NPI Number Information
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NPI Number | 1992015788
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Entity Type | Individual
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Provider Name | LAURIE J JONES NP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 600 LEGACY PLAZA EAST
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City | LAPORTE
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State | IN
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Zip | 46350-5268
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Country | US
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Telephone | 219-921-1444
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Fax | 219-921-5303
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Provider Business Mailing Address
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Address Line | 601 GATEWAY BLVD N
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City | CHESTERTON
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State | IN
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Zip | 46304-9658
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Country | US
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Telephone | 219-921-1444
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Fax | 219-921-0533
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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 | 71003380A
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License Number State | IN
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