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General NPI Number Information
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NPI Number | 1083598460
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Entity Type | Individual
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Provider Name | LAUREN WILCOX PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2020 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1465
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Country | US
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Telephone | 770-314-6096
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Fax |
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Provider Business Mailing Address
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Address Line | 2751 NELSON LN SE
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City | SMYRNA
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State | GA
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Zip | 30080-2109
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 030220
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License Number State | GA
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