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General NPI Number Information
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NPI Number | 1912270711
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Entity Type | Individual
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Provider Name | LAUREN JUMP MATTHEWS
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Gender | Female
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1130D SNOW BRIDGE LN
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City | KERNERSVILLE
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State | NC
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Zip | 27284-8411
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Country | US
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Telephone | 336-904-0467
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 HAW RIVER RD
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City | OAK RIDGE
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State | NC
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Zip | 27310-9832
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Country | US
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Telephone | 336-430-0059
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7811
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License Number State | NC
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