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General NPI Number Information
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NPI Number | 1992609127
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Entity Type | Individual
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Provider Name | MRS. LAUREN ANN SCANLON
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 100 OXBOW LAKE RD
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City | WHITE LAKE
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State | MI
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Zip | 48386-2621
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Country | US
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Telephone | 248-684-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 4851 STUHRBERG DR
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City | BRIGHTON
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State | MI
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Zip | 48114-8618
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Country | US
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Telephone | 248-342-0261
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801117359
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License Number State | MI
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