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General NPI Number Information
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NPI Number | 1013490317
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Entity Type | Individual
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Provider Name | LAUREN MARIE WORLEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 400 TAYLOR RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-3512
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Country | US
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Telephone | 800-889-8610
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Fax | 706-653-1162
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Provider Business Mailing Address
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Address Line | PO BOX 830525 DEPT SF128
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0525
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.1809
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License Number State | AL
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