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General NPI Number Information
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NPI Number | 1578451324
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Entity Type | Individual
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Provider Name | LAUREN A LUNDIN
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Gender | Female
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 320 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5417
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Country | US
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Telephone | 407-434-9384
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Fax |
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Provider Business Mailing Address
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Address Line | 320 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5417
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Country | US
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Telephone | 407-434-9384
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1675283
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License Number State |
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