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General NPI Number Information
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NPI Number | 1245856921
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Entity Type | Individual
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Provider Name | JAMES NICOLA LAUREN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 356 W 18TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4401
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Country | US
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Telephone | 212-271-7213
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Fax |
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Provider Business Mailing Address
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Address Line | 115 NASSAU AVE APT 2
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City | BROOKLYN
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State | NY
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Zip | 11222-3217
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Country | US
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Telephone | 516-314-8879
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 309463
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License Number State | NY
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