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General NPI Number Information
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NPI Number | 1821576174
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Entity Type | Individual
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Provider Name | LAUREN NICOLE BACHMAN DNP, AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 16952 W BELL RD STE E-304
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City | SURPRISE
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State | AZ
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Zip | 85374-8951
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Country | US
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Telephone | 507-251-6749
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 W LAREDO LN
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City | PHOENIX
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State | AZ
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Zip | 85085-6002
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Country | US
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Telephone | 507-251-6749
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP11390
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License Number State | AZ
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