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General NPI Number Information
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NPI Number | 1447882055
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Entity Type | Individual
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Provider Name | LAUREN ELAINE WEEKS
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 12421 SAN JOSE BLVD STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8659
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Country | US
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Telephone | 850-521-0242
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Fax |
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Provider Business Mailing Address
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Address Line | 601 NE 3RD ST
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City | BELLE GLADE
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State | FL
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Zip | 33430-2035
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Country | US
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Telephone | 561-914-0259
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0-23-14243
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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