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General NPI Number Information
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NPI Number | 1104710821
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Entity Type | Individual
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Provider Name | BRITTANY LAUDER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 5966 SCOTTSVILLE RD STE 3
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City | BOWLING GREEN
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State | KY
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Zip | 42104-7908
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Country | US
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Telephone | 270-904-5140
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 EDGEWATER DR # 2098
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 270-904-0976
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11039640
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License Number State | FL
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