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General NPI Number Information
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NPI Number | 1871447730
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Entity Type | Individual
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Provider Name | LAUREN ANNE DIAZ
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Gender | Female
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 640 TIMBER DR E
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City | GARNER
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State | NC
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Zip | 27529-7882
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Country | US
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Telephone | 615-560-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 680 LANDMARK RD
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City | WILLOW SPRING
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State | NC
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Zip | 27592-8138
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Country | US
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Telephone | 919-817-9892
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NC
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