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General NPI Number Information
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NPI Number | 1336078096
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Entity Type | Individual
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Provider Name | LAUREN HILLARY BASDEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2026
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Last Update Date | 05/18/2026
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Provider Practice Location Address
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Address Line | 1451 EL CAMINO REAL
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City | THE VILLAGES
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State | FL
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Zip | 32159-0041
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Country | US
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Telephone | 352-775-4833
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Fax | 352-775-4839
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Provider Business Mailing Address
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Address Line | 115 BREMEN WAY
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City | MADISON
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State | MS
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Zip | 39110-6949
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Country | US
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Telephone | 352-775-4833
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Fax | 352-775-4839
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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 | 11047180
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License Number State | FL
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