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General NPI Number Information
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NPI Number | 1679365944
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Entity Type | Individual
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Provider Name | LAUREN BETHANY ANASTASI
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3319 S STATE ROAD 7 STE 310
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City | WELLINGTON
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State | FL
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Zip | 33449-8147
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Country | US
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Telephone | 587-795-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 3922 W SANDPIPER DR APT 5
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-2475
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Country | US
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Telephone | 301-873-9346
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 43097
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43097
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License Number State | FL
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