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General NPI Number Information
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NPI Number | 1104355916
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Entity Type | Individual
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Provider Name | LAUREN WILLIAMS SLP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 06/06/2017
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Provider Practice Location Address
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Address Line | 1710 WHITFIELD DR
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City | BEDFORD
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State | VA
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Zip | 24523-1401
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Country | US
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Telephone | 540-587-3246
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 RIVERMONT AVE CENTRA OUTPATIENT REHABILITATION SERVICES
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City | LYNCHBURG
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State | VA
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Zip | 24503
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Country | US
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Telephone | 434-200-5032
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202008113
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License Number State | VA
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