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General NPI Number Information
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NPI Number | 1700419280
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH FLETCHER CROTTS MSN, MBA, APRN,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 3878 OXFORD STATION WAY
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1340
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Country | US
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Telephone | 336-306-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 153 CAUDLE MEADOWS DR
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City | ADVANCE
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State | NC
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Zip | 27006-6971
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Country | US
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Telephone | 336-345-7579
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5012843
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License Number State | NC
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