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General NPI Number Information
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NPI Number | 1194354480
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE FEUERSTEIN DDS
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 170 MARCELL DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-1300
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Country | US
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Telephone | 616-884-5812
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Fax |
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Provider Business Mailing Address
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Address Line | 6369 VENTURE HILLS BLVD SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-7600
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Country | US
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Telephone | 616-626-5024
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12013377A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2901601351
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License Number State | MI
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