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General NPI Number Information
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NPI Number | 1184236663
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Entity Type | Individual
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Provider Name | LAUREN EVANS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 2705 RIVER BEND TRL
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City | FLOWER MOUND
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State | TX
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Zip | 75022-0804
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Country | US
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Telephone | 661-606-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 LONG PRAIRIE RD STE 185
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4832
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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