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General NPI Number Information
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NPI Number | 1821499385
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Entity Type | Individual
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Provider Name | LAUREN SHANNON GREENER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 4372 OLD TAVERN RD
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City | THE PLAINS
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State | VA
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Zip | 20198
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Country | US
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Telephone | 703-783-2959
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Fax | 703-738-7047
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Provider Business Mailing Address
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Address Line | 4372 OLD TAVERN RD
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City | THE PLAINS
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State | VA
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Zip | 20198
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Country | US
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Telephone | 703-783-2959
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Fax | 703-738-7047
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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 | 0024171936
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1034706
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License Number State | DC
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