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General NPI Number Information
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NPI Number | 1427804483
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Entity Type | Individual
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Provider Name | LAUREN FAULKNER NP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 6019 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2113
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Country | US
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Telephone | 901-701-5825
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741836
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City | ATLANTA
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State | GA
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Zip | 30374-1836
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Country | US
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Telephone | 877-348-1281
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 36000
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 227781
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License Number State | TN
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