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General NPI Number Information
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NPI Number | 1508758137
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Entity Type | Individual
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Provider Name | LAUREN SMITH
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4 OFFICE PARK DR STE 4
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City | PALM COAST
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State | FL
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Zip | 32137-3831
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Country | US
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Telephone | 386-446-9935
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Fax |
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Provider Business Mailing Address
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Address Line | 14 FLORENCE CT
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City | PALM COAST
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State | FL
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Zip | 32137-8305
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Country | US
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Telephone | 703-439-8355
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ12744
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License Number State | FL
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