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General NPI Number Information
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NPI Number | 1073834115
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Entity Type | Individual
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Provider Name | LAUREN N O'MEAL NPP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 1160K PITTSFORD VICTOR RD STE 17
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City | PITTSFORD
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State | NY
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Zip | 14534-3818
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Country | US
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Telephone | 585-433-1336
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Fax | 585-433-1356
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Provider Business Mailing Address
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Address Line | 1160K PITTSFORD VICTOR RD STE 17
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City | PITTSFORD
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State | NY
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Zip | 14534-3818
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Country | US
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Telephone | 585-433-1336
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Fax | 585-433-1356
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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 | 401275
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 565864
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License Number State | NY
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