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General NPI Number Information
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NPI Number | 1780479360
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Entity Type | Individual
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Provider Name | LAUREN DUPONT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 4407 BEE CAVES RD STE 112
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6498
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Country | US
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Telephone | 512-328-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 IDLEWILD RD UNIT A
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City | AUSTIN
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State | TX
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Zip | 78731-6149
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Country | US
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Telephone | 512-921-1321
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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 | 1003022
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License Number State | TX
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