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General NPI Number Information
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NPI Number | 1184421133
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Entity Type | Individual
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Provider Name | LAUREN JURSS
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1650 LEE LN
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City | BELOIT
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State | WI
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Zip | 53511-3935
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Country | US
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Telephone | 608-365-8660
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Fax |
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Provider Business Mailing Address
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Address Line | W156S7492 MARTIN CT
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City | MUSKEGO
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State | WI
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Zip | 53150-8395
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Country | US
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Telephone | 414-630-6050
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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