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General NPI Number Information
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NPI Number | 1043349418
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Entity Type | Individual
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Provider Name | LAUREN FRIES D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 5700 MERRICK RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6221
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Country | US
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Telephone | 516-316-9624
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Fax |
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Provider Business Mailing Address
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Address Line | 3553 LOCUST AVE
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City | WANTAGH
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State | NY
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Zip | 11793-3644
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 011170
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License Number State | NY
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