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NPI 1851695928

NPI 1851695928 : LAUREN J NELSON : CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1851695928
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN J NELSON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2011
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    109 BEE ST 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29401-5703
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    Country              |    US
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    Telephone            |    843-530-7851
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 BEE ST 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29401-5703
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    Country              |    US
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    Telephone            |    854-577-5011
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LC23160
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    16557
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    License Number State |    SC
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