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General NPI Number Information
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NPI Number | 1831901305
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Entity Type | Individual
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Provider Name | LAUREN M LARKIN FNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 661 DEER PARK AVE
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City | BABYLON
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State | NY
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Zip | 11702-1300
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Country | US
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Telephone | 631-376-3880
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Fax | 631-376-3881
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Provider Business Mailing Address
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Address Line | 30 DIVISION AVE
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City | EAST ISLIP
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State | NY
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Zip | 11730-2106
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Country | US
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Telephone | 914-584-6293
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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 | F355197-01
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License Number State | NY
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