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General NPI Number Information
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NPI Number | 1255692760
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Entity Type | Individual
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Provider Name | LAUREN CHRISTINE POWELL D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR STE 3100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5642
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Country | US
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Telephone | 210-615-1187
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Fax |
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Provider Business Mailing Address
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Address Line | 3507 HUNTERS DEW ST
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2859
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Country | US
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Telephone | 303-862-0646
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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 | TL0007992
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | S4374
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | S4374
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License Number State | TX
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