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General NPI Number Information
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NPI Number | 1770737504
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Entity Type | Organization
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Legal Business Name | LAUREN & LONDEN, INC.
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 610 MANN ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-6240
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Country | US
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Telephone | 910-551-1192
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41133
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-1133
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Country | US
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Telephone | 910-551-1192
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CRYSTAL SPIGNER WILLIAMS
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Credential |
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Telephone | 910-551-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | HAL-026-053
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License Number State | NC
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