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General NPI Number Information
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NPI Number | 1285012468
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Entity Type | Individual
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Provider Name | LAUREN MARIE PERZ DO
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Gender | Female
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 23511 HOLLYWOOD RD STE 2
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City | LEONARDTOWN
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State | MD
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Zip | 20650-5833
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Country | US
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Telephone | 301-997-0611
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Fax | 855-253-1610
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Provider Business Mailing Address
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Address Line | 23511 HOLLYWOOD ROAD SUITE 2, PO BOX 909
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City | LEONARDTOWN
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State | MD
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Zip | 20650
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Country | US
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Telephone | 301-997-0611
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Fax | 855-253-1610
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0085654
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License Number State | MD
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