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General NPI Number Information
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NPI Number | 1689397424
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Entity Type | Individual
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Provider Name | LAUREN HERRERA DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 927 45TH ST STE 206
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City | MANGONIA PARK
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State | FL
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Zip | 33407-2450
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Country | US
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Telephone | 561-249-2124
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Fax | 561-881-4540
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Provider Business Mailing Address
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Address Line | 4840 ROYAL CT N
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-2825
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Country | US
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Telephone | 613-010-8055
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11022059
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License Number State | FL
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