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General NPI Number Information
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NPI Number | 1124838008
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Entity Type | Individual
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Provider Name | LAUREN RENEE HAVLIN M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 2635 CENTURY PKWY NE STE 250
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City | ATLANTA
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State | GA
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Zip | 30345-3166
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Country | US
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Telephone | 770-927-7424
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Fax | 404-480-0784
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Provider Business Mailing Address
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Address Line | 400 BELMONT PL SE UNIT 3216
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City | SMYRNA
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State | GA
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Zip | 30080-1988
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Country | US
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Telephone | 630-687-0276
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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 | SLP013416
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License Number State | GA
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