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General NPI Number Information
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NPI Number | 1063915668
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Entity Type | Individual
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Provider Name | LAUREN FOREMAN CNM, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2018
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 3600 W PARMER LN STE 108
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City | AUSTIN
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State | TX
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Zip | 78727-4111
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Country | US
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Telephone | 512-368-9370
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Fax | 512-377-9300
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Provider Business Mailing Address
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Address Line | 13359 N HIGHWAY 183 STE 406-620
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City | AUSTIN
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State | TX
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Zip | 78750-7153
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Country | US
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Telephone | 443-553-3082
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 35438
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1011264
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License Number State | TX
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