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General NPI Number Information
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NPI Number | 1104765999
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Entity Type | Individual
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Provider Name | LAUREN LYNN MCGOWAN
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 209 CHERRY ST
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City | MILFORD
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State | CT
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Zip | 06460-3501
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Country | US
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Telephone | 203-874-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 185 CANAL ST UNIT 3073
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City | SHELTON
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State | CT
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Zip | 06484-8138
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 18.008469
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License Number State | CT
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