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General NPI Number Information
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NPI Number | 1043126378
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Entity Type | Individual
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Provider Name | LAUREN ASHLEY GOLDEN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 6500 4TH ST
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City | HOLTON
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State | MI
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Zip | 49425-7536
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Country | US
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Telephone | 231-821-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 LAWNEL AVE
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City | NORTON SHORES
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State | MI
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Zip | 49441-3646
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5201013976
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License Number State | MI
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