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General NPI Number Information
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NPI Number | 1427697960
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE MOHNEY CRNA, DNP
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Gender | Female
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Dates
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Enumeration Date | 01/01/2020
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 655 W 8TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-244-3199
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Fax | 904-244-3425
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Provider Business Mailing Address
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Address Line | 12146 HIDDEN HILLS DR
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City | JACKSONVILLE
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State | FL
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Zip | 32225-3693
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Country | US
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Telephone | 904-728-1148
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9299408
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11005857
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License Number State | FL
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