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General NPI Number Information
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NPI Number | 1548772130
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE RAINES APRN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | HARRIS METHODIST FORT WORTH; NEONATOLOGY DEPARTMENT 1301 PENNYSLVANIA AVE
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City | FORTH WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-502-9918
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Fax |
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Provider Business Mailing Address
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Address Line | 3232 STARDUST LN
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City | NORTHLAKE
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State | TX
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Zip | 76226-2010
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Country | US
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Telephone | 517-614-0504
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1015672
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License Number State | TX
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