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General NPI Number Information
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NPI Number | 1093149460
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Entity Type | Individual
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Provider Name | MRS. LAUREN LEE MENTE
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 204 COOK RD
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City | LEBANON
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State | OH
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Zip | 45036-9600
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Country | US
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Telephone | 513-932-4337
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1395
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Country | US
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Telephone | 513-751-7747
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN315322
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 65205
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.15364-NP
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License Number State | OH
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