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General NPI Number Information
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NPI Number | 1184049686
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Entity Type | Individual
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Provider Name | LAUREN KNIERIM NP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 8333 N DAVIS HWY FL 4
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City | PENSACOLA
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State | FL
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Zip | 32514-6050
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Country | US
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Telephone | 850-969-7979
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Fax | 833-294-3763
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Provider Business Mailing Address
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Address Line | 8333 N DAVIS HWY FL 4
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City | PENSACOLA
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State | FL
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Zip | 32514-6050
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Country | US
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Telephone | 850-969-7979
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Fax | 833-294-3763
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3-001432
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11024808
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License Number State | FL
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