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General NPI Number Information
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NPI Number | 1861363707
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Entity Type | Individual
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Provider Name | LAUREN GREEN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 16341 MUESCHKE RD STE 150
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City | CYPRESS
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State | TX
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Zip | 77433-5218
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Country | US
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Telephone | 832-334-5194
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Fax |
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Provider Business Mailing Address
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Address Line | 3232 MANFORD BLVD APT 6207
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City | RICHMOND
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State | TX
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Zip | 77469-4168
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Country | US
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Telephone | 281-916-4237
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 218786
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License Number State | TX
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