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General NPI Number Information
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NPI Number | 1548833478
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Entity Type | Individual
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Provider Name | LAUREN JUST
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 280 S MAIN ST
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City | CHESHIRE
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State | CT
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Zip | 06410-3112
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Country | US
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Telephone | 860-870-6385
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22239
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City | NEW YORK
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State | NY
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Zip | 10087-0001
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Country | US
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Telephone | 702-899-0595
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Fax | 702-977-1496
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12.009847
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License Number State | CT
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