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General NPI Number Information
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NPI Number | 1326739145
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH SHARPE MAT, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 701 N C ST
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City | INDIANOLA
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State | IA
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Zip | 50125-1201
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Country | US
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Telephone | 720-648-6546
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Fax |
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Provider Business Mailing Address
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Address Line | 4544 EP TRUE PKWY APT 205
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City | WEST DES MOINES
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State | IA
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Zip | 50265-7919
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Country | US
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Telephone | 720-648-6546
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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 | 133757
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License Number State | IA
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