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General NPI Number Information
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NPI Number | 1093604951
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Entity Type | Individual
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Provider Name | LAUREN HEGG
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 879 NE MAIN ST STE A
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2056
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Country | US
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Telephone | 864-688-9416
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Fax |
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Provider Business Mailing Address
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Address Line | 31 OPEN RANGE LN
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-3254
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Country | US
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Telephone | 864-365-5588
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80723
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License Number State | SC
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