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General NPI Number Information
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NPI Number | 1114401379
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Entity Type | Individual
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Provider Name | LAUREN KARESH CNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2018
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2563 S COUNTY HIGHWAY 395
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-6328
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Country | US
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Telephone | 404-281-0904
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Fax | 404-977-4389
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Provider Business Mailing Address
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Address Line | 2563 S COUNTY HIGHWAY 395
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-6328
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Country | US
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Telephone | 404-281-0904
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Fax | 404-977-4389
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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 | APRN.CNP.023542
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN207049
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11027875
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License Number State | FL
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