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General NPI Number Information
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NPI Number | 1407213044
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Entity Type | Individual
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Provider Name | LAUREN O'HANLAN APN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 1949 MARLTON PIKE E SUITE 1
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2145
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Country | US
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Telephone | 856-424-6050
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Fax | 856-424-2943
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Provider Business Mailing Address
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Address Line | 1949 MARLTON PIKE E SUITE 1
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2145
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Country | US
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Telephone | 856-424-6050
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Fax | 856-424-2943
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NJ00624300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 26NR15620600
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License Number State | NJ
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