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General NPI Number Information
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NPI Number | 1174408785
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Entity Type | Individual
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Provider Name | LAUREN GASPARD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2919 TRYON RD
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City | LONGVIEW
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State | TX
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Zip | 75605-5069
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Country | US
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Telephone | 903-803-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 507 RIDGECREST DR
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City | WHITE OAK
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State | TX
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Zip | 75693-3327
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Country | US
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Telephone | 337-281-1543
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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 | 122891
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License Number State | TX
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