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General NPI Number Information
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NPI Number | 1295530681
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Entity Type | Individual
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Provider Name | LAUREN NICOLE BARRETT
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 15 GRUMMAN RD W STE 1000
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City | BETHPAGE
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State | NY
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Zip | 11714-5028
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Country | US
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Telephone | 516-465-4708
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 200TH ST
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City | BAYSIDE
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State | NY
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Zip | 11360-1031
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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