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NPI 1538401542

NPI 1538401542 : LAUREN E CARROLL DPT : ASHEBORO, NC

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General NPI Number Information
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    NPI Number           |    1538401542
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN E CARROLL DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2013
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    Last Update Date     |    02/28/2024
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Provider Practice Location Address
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    Address Line         |    138 DUBLIN SQUARE RD STE A 
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    City                 |    ASHEBORO
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    State                |    NC
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    Zip                  |    27203-8601
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    Country              |    US
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    Telephone            |    336-626-3700
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    Fax                  |    336-626-4100
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5418 
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    City                 |    ASHEBORO
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    State                |    NC
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    Zip                  |    27204-5418
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    Country              |    US
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    Telephone            |    336-625-2333
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    Fax                  |    336-625-5511
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    P12772
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    License Number State |    NC
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