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General NPI Number Information
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NPI Number | 1578923538
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Entity Type | Individual
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Provider Name | LAUREN CORRIGAN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 2772 RUTLAND RD
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City | DAVIDSONVILLE
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State | MD
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Zip | 21035-1228
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Country | US
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Telephone | 410-798-1600
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Fax | 410-798-0171
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Provider Business Mailing Address
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Address Line | 10 LANDINGS CT
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City | ANNAPOLIS
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State | MD
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Zip | 21403-1537
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Country | US
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Telephone | 717-805-1681
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95003655
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License Number State | CA
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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 | R242845
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License Number State | MD
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