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General NPI Number Information
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NPI Number | 1477107274
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Entity Type | Individual
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Provider Name | LAUREN MATTHEWS NP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 491 SAGE RD N STE 200
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City | WHITE HOUSE
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State | TN
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Zip | 37188-9361
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Country | US
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Telephone | 615-672-7122
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Fax | 615-672-7849
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Provider Business Mailing Address
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Address Line | 491 SAGE RD N STE 200
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City | WHITE HOUSE
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State | TN
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Zip | 37188-9361
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Country | US
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Telephone | 615-672-7122
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Fax | 615-672-7849
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 31442
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 209019611
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209019611
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License Number State | IL
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