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General NPI Number Information
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NPI Number | 1144731118
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Entity Type | Individual
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Provider Name | LAUREN REED GAVIN M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4016 RAINTREE RD STE 100
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3700
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Country | US
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Telephone | 757-488-2864
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Fax |
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Provider Business Mailing Address
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Address Line | 145 GRANBY ST APT 406
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City | NORFOLK
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State | VA
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Zip | 23510-1658
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Country | US
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Telephone | 630-677-4082
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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 | 146014463
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202009594
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License Number State | VA
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