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General NPI Number Information
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NPI Number | 1063636777
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Entity Type | Organization
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Legal Business Name | LAUREN'S INSTITUTE FOR EDUCATION
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1703 S. JACANA LANE
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City | HIGLEY
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State | AZ
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Zip | 85236
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Country | US
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Telephone | 480-577-4145
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2007
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City | HIGLEY
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State | AZ
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Zip | 85236-2007
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Country | US
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Telephone | 480-577-4145
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | MRS. MARGARET LOUISE TRAVILLION
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Credential |
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Telephone | 480-577-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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