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General NPI Number Information
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NPI Number | 1801772405
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH AUGUSTINE
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 142 SPORTSMAN ISLAND DR
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City | CHARLESTON
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State | SC
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Zip | 29492-8524
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Country | US
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Telephone | 843-696-2174
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 INDIGO MARKET DR
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City | MT PLEASANT
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State | SC
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Zip | 29464-5906
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Country | US
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Telephone | 919-763-4762
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13017
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License Number State | SC
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