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General NPI Number Information
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NPI Number | 1033954128
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH ADKINS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/28/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 6969 BROCKTON AVE STE AB
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City | RIVERSIDE
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State | CA
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Zip | 92506-3833
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Country | US
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Telephone | 951-530-8989
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Fax | 951-530-8877
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Provider Business Mailing Address
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Address Line | 13068 PAVILLION CT
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City | MORENO VALLEY
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State | CA
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Zip | 92553-5696
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Country | US
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Telephone | 951-497-1133
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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 | 95242013
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License Number State | CA
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