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General NPI Number Information
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NPI Number | 1881171353
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Entity Type | Individual
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Provider Name | LAUREN HOMER NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3328 N UNIVERSITY DR
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City | NACOGDOCHES
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State | TX
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Zip | 75965-2681
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Country | US
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Telephone | 936-568-3141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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Country | US
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Telephone | 469-893-2587
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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 | AP138101
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License Number State | TX
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