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General NPI Number Information
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NPI Number | 1679877229
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Entity Type | Individual
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Provider Name | LAUREN NICOLE DONALDSON PA-C, CAQ-PEDS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2312 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6590
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Country | US
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Telephone | 405-652-0581
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Fax |
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Provider Business Mailing Address
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Address Line | 312 E RICH ST
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City | NORMAN
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State | OK
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Zip | 73069-7820
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Country | US
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Telephone | 580-747-5274
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1989
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License Number State | OK
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