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General NPI Number Information
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NPI Number | 1063336741
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Entity Type | Individual
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Provider Name | LAUREN MCDONOUGH NP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 1 STAGECOACH WAY
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City | COHASSET
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State | MA
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Zip | 02025
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Country | US
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Telephone | 781-426-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 42 CASPAR ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-2429
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2359131
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License Number State | MA
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