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General NPI Number Information
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NPI Number | 1861036139
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Entity Type | Individual
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Provider Name | LAUREN HOMAN CNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 3333 BURNET AVENUE ML 2016
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City | CINCINNATI
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State | OH
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Zip | 45229
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Country | US
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Telephone | 513-636-4726
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Fax | 513-636-2808
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Provider Business Mailing Address
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Address Line | 1818 PHEASANT HILLS DR
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City | LOVELAND
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State | OH
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Zip | 45140-7177
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Country | US
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Telephone |
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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 | 3016560
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.025403
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License Number State | OH
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