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General NPI Number Information
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NPI Number | 1366374795
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Entity Type | Individual
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Provider Name | LAUREN EVANS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 64 CALABASH DR
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City | CAROLINA SHORES
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State | NC
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Zip | 28467-2529
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Country | US
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Telephone | 805-235-6585
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 CR-329
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City | REDDICK
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State | FL
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Zip | 32686
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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