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General NPI Number Information
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NPI Number | 1962218800
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Entity Type | Individual
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Provider Name | LAUREN PRISBE RN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 801 E KATELLA AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-6614
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Country | US
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Telephone | 657-682-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 2612 MILTON AVE APT 1
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City | FULLERTON
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State | CA
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Zip | 92831-1459
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Country | US
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Telephone | 703-216-2007
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 95269535
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License Number State | CA
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