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General NPI Number Information
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NPI Number | 1992162978
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Entity Type | Individual
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Provider Name | LAUREN VICTORIA GHAZAL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2745 W RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14626-3038
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Country | US
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Telephone | 585-225-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2298425
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 54527
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2298425
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F341837
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License Number State | NY
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