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General NPI Number Information
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NPI Number | 1417762048
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Entity Type | Individual
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Provider Name | LAUREN LEE PAULEY
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4833 BEREWICK TOWN CENTER DR STE H
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City | CHARLOTTE
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State | NC
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Zip | 28278-6721
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Country | US
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Telephone | 980-880-6780
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412313
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City | BOSTON
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State | MA
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Zip | 02241-2313
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P23846
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License Number State | NC
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