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General NPI Number Information
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NPI Number | 1447095187
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Entity Type | Individual
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Provider Name | LAUREN A HOLLAND MSW, LCSWA
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Gender | Female
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Dates
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Enumeration Date | 06/25/2024
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 1913 J N PEASE PL STE 104
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City | CHARLOTTE
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State | NC
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Zip | 28262-4537
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Country | US
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Telephone | 919-807-1692
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Fax |
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Provider Business Mailing Address
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Address Line | 8320 UNIVERSITY EXEC PARK DR APT 460
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City | CHARLOTTE
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State | NC
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Zip | 28262-3023
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Country | US
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Telephone | 984-377-3020
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P020843
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License Number State | NC
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