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General NPI Number Information
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NPI Number | 1548066699
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Entity Type | Individual
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Provider Name | LAUREN SNYDER
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 300 VILLA DR
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City | HURLEY
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State | WI
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Zip | 54534-1523
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Country | US
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Telephone | 715-561-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 5935W US HIGHWAY 2
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City | HURLEY
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State | WI
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Zip | 54534-9089
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Country | US
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Telephone | 715-360-7063
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 167660-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704287608
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License Number State | MI
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