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General NPI Number Information
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NPI Number | 1114330115
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Entity Type | Individual
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Provider Name | LAUREN FAGER APRN-C
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Gender | Female
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 620 SE MADISON ST
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City | TOPEKA
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State | KS
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Zip | 66607-1299
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Country | US
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Telephone | 785-368-2437
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Fax |
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Provider Business Mailing Address
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Address Line | 6118 SW 38TH TER
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City | TOPEKA
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State | KS
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Zip | 66610-1307
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Country | US
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Telephone | 785-221-2007
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76180-052
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 53-76180-052
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License Number State | KS
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