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General NPI Number Information
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NPI Number | 1265855415
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Entity Type | Individual
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Provider Name | LAUREN LEIGH PAPE RDH
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Gender | Female
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 14713 OREGON IRIS WAY
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City | OREGON CITY
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State | OR
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Zip | 97045-7459
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Country | US
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Telephone | 503-484-6198
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Fax |
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Provider Business Mailing Address
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Address Line | 13320 SE 162ND AVE APT. 365
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City | HAPPY VALLEY
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State | OR
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Zip | 97015-3807
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Country | US
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Telephone | 503-484-6198
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H6676
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License Number State | OR
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