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General NPI Number Information
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NPI Number | 1619502457
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Entity Type | Individual
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Provider Name | LAUREN JURIC PA
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2200 E PARRISH AVE STE 100
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City | OWENSBORO
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State | KY
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Zip | 42303-1449
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Country | US
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Telephone | 270-688-1770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | EVANSVILLE
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State | IN
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Zip | 47731-3276
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Country | US
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Telephone | 812-473-0181
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Fax | 812-492-6498
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2868
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10003343A
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License Number State | IN
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