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General NPI Number Information
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NPI Number | 1275991184
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH MCWHORTER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 1040 FLYNN RD
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City | CAMARILLO
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State | CA
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Zip | 93012-5092
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Country | US
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Telephone | 805-640-8293
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Fax | 805-640-1410
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Provider Business Mailing Address
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Address Line | 5855 OLIVAS PARK DR
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City | VENTURA
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State | CA
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Zip | 93003-7672
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Country | US
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Telephone | 805-667-2801
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Fax | 805-667-2865
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95003459
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License Number State | CA
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