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General NPI Number Information
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NPI Number | 1558046771
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Entity Type | Individual
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Provider Name | LAUREN CRANE
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Gender | Female
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 811 IRA E WOODS AVE
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City | GRAPEVINE
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State | TX
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Zip | 76051-4012
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Country | US
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Telephone | 817-481-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 OAK VALLEY DR
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City | BEDFORD
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State | TX
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Zip | 76021-3429
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Country | US
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Telephone | 817-913-3178
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1110277
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License Number State | TX
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