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NPI 1366827529

NPI 1366827529 : LAUREN DRY : MOUNT AIRY, NC

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General NPI Number Information
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    NPI Number           |    1366827529
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN DRY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2015
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    Last Update Date     |    03/26/2024
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Provider Practice Location Address
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    Address Line         |    119 WELCH RD 
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    City                 |    MOUNT AIRY
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    State                |    NC
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    Zip                  |    27030-5274
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    Country              |    US
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    Telephone            |    336-719-7138
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    Fax                  |    367-789-8167
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Provider Business Mailing Address
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    Address Line         |    850 LITTLE PINE RD 
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    City                 |    ENNICE
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    State                |    NC
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    Zip                  |    28623-9074
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    Country              |    US
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    Telephone            |    704-840-6061
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    5007827
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    License Number State |    NC
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