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General NPI Number Information
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NPI Number | 1952966376
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Entity Type | Individual
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Provider Name | LAUREN T REZEK NP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 7310 ANTOINETTE WAY APT 314
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City | KNOXVILLE
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State | TN
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Zip | 37919-5984
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Country | US
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Telephone | 606-269-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 206 S 30TH ST
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City | MIDDLESBORO
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State | KY
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Zip | 40965-2304
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Country | US
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Telephone | 606-499-5410
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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 | F01191827
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License Number State | TN
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