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General NPI Number Information
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NPI Number | 1962974329
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Entity Type | Individual
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Provider Name | LAUREN SMITH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/26/2018
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 757 NJ RT 15 S SUITE 104
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City | LAKE HOPATCONG
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State | NJ
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Zip | 07849
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Country | US
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Telephone | 973-810-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PROSPECT ST
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City | MENDHAM
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State | NJ
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Zip | 07945-1216
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Country | US
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Telephone | 912-650-9535
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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 | 95009320
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00866500
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License Number State | NJ
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