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General NPI Number Information
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NPI Number | 1679272033
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Entity Type | Individual
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Provider Name | LAUREN LUKER PERRY WHNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 315 W FORT WILLIAMS ST
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City | SYLACAUGA
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State | AL
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Zip | 35150-2433
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Country | US
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Telephone | 256-249-6995
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Fax | 256-245-6992
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Provider Business Mailing Address
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Address Line | 315 W FORT WILLIAMS ST
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City | SYLACAUGA
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State | AL
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Zip | 35150-2433
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Country | US
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Telephone | 256-249-6995
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Fax | 256-245-6992
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 104545061
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-181289
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License Number State | AL
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