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General NPI Number Information
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NPI Number | 1629414891
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH GOSSETT DPT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 1404 EVERETTE FIELDS RD
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City | MORRISVILLE
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State | NC
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Zip | 27560-7172
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Country | US
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Telephone | 336-420-3282
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Fax | 919-287-2869
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Provider Business Mailing Address
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Address Line | 1404 EVERETTE FIELDS RD
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City | MORRISVILLE
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State | NC
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Zip | 27560-7172
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Country | US
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Telephone | 336-420-3282
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Fax | 919-287-2869
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 14121
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License Number State | NC
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