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General NPI Number Information
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NPI Number | 1659750008
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Entity Type | Individual
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Provider Name | LAUREN SOFRANKO PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 405 W SOUTHERN AVE STE 111
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City | TEMPE
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State | AZ
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Zip | 85282-4500
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Country | US
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Telephone | 520-428-0682
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 E WILLIAMS FIELD RD STE 201
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City | GILBERT
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State | AZ
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Zip | 85295-1825
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 251430
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License Number State | AZ
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