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General NPI Number Information
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NPI Number | 1609284793
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Entity Type | Individual
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Provider Name | LAUREN EDWARDS A.P.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 3540 S OSPREY AVE
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City | SARASOTA
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State | FL
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Zip | 34239-5925
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Country | US
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Telephone | 941-554-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 5474 DOMINICA CIR
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City | SARASOTA
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State | FL
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Zip | 34233-3819
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Country | US
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Telephone | 941-780-5990
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3501
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License Number State | FL
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