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General NPI Number Information
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NPI Number | 1508355033
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Entity Type | Individual
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Provider Name | LAUREN A HUNTRESS MD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 901 VILLAGE BLVD STE 702
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1947
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Country | US
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Telephone | 561-407-0613
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Fax | 561-407-0614
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Provider Business Mailing Address
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Address Line | PO BOX 20800
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City | BELFAST
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State | ME
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Zip | 04915-4105
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Country | US
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Telephone | 888-402-7256
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Fax | 888-902-1099
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME161397
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License Number State | FL
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