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General NPI Number Information
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NPI Number | 1346156023
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Entity Type | Individual
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Provider Name | LAUREN MEZZANOTTE
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 282 N HARNETT SCHOOL RD
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City | ANGIER
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State | NC
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Zip | 27501-8480
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Country | US
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Telephone | 919-639-4480
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Fax |
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Provider Business Mailing Address
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Address Line | 112 WHITE BURLEY CT
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City | DURHAM
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State | NC
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Zip | 27703-6475
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 14345
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License Number State | NC
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