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General NPI Number Information
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NPI Number | 1285216176
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Entity Type | Individual
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Provider Name | LAUREN MCGAINEY
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 800 W MEADOW AVE
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City | GENEVA
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State | AL
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Zip | 36340-1099
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Country | US
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Telephone | 334-684-2294
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Fax |
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Provider Business Mailing Address
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Address Line | 109 HATTIESBURG CT
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City | DOTHAN
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State | AL
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Zip | 36301-3101
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Country | US
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Telephone | 334-790-4263
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | AL
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