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General NPI Number Information
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NPI Number | 1992458525
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Entity Type | Individual
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Provider Name | LAURA KATHLEEN TWINEM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 5201 UNIVERSITY BLVD
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City | LAREDO
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State | TX
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Zip | 78041-1920
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Country | US
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Telephone | 956-326-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 402 FALCETE CT
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City | LAREDO
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State | TX
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Zip | 78045-7855
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Country | US
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Telephone | 956-290-3525
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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 | 1069497
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License Number State | TX
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