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General NPI Number Information
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NPI Number | 1518756022
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Entity Type | Individual
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Provider Name | LAUREN TEGTMEIER
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2580 MONTESSOURI ST
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City | LAS VEGAS
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State | NV
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Zip | 89117-3066
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Country | US
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Telephone | 702-374-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 440 WHEATON CT
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City | HENDERSON
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State | NV
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Zip | 89002-8341
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 18-1446
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License Number State | NV
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