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General NPI Number Information
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NPI Number | 1104655869
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Entity Type | Individual
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Provider Name | LAUREN HAAS AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1380 EASTCHESTER DR STE 103
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City | HIGH POINT
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State | NC
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Zip | 27265-2660
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Country | US
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Telephone | 336-521-9480
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 SELWYN AVE
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City | CHARLOTTE
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State | NC
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Zip | 28209-3542
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5020675
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License Number State | NC
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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 | 361338
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License Number State | NC
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