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General NPI Number Information
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NPI Number | 1043025604
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Entity Type | Individual
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Provider Name | LAUREN PATRICK GREENE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 200 E CHESTNUT ST STE 303
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City | LOUISVILLE
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State | KY
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Zip | 40202-1831
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Country | US
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Telephone | 502-559-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 5004 HIDDEN SPRINGS DR
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City | CHARLESTOWN
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State | IN
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Zip | 47111-1448
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Country | US
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Telephone | 865-265-3960
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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 | TC016
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License Number State | KY
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