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General NPI Number Information
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NPI Number | 1013657691
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Entity Type | Individual
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Provider Name | LAUREN LANE CARDARELLI
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 408 STATE RD STE 730
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City | DARTMOUTH
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State | MA
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Zip | 02747-4302
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Country | US
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Telephone | 508-990-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 JULIET CT
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City | JOHNSTON
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State | RI
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Zip | 02919-5626
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Country | US
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Telephone | 401-369-4577
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 13411
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN10000837
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License Number State | MA
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