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General NPI Number Information
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NPI Number | 1346711207
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Entity Type | Individual
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Provider Name | LAUREN WILLIAMS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 16890 FOREST RD
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City | FOREST
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State | VA
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Zip | 24551
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Country | US
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Telephone | 434-200-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 16890 FOREST RD
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City | FOREST
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State | VA
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Zip | 24551-4059
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Country | US
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Telephone | 434-200-7210
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110-0065421
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 0110-0065421
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License Number State | VA
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