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General NPI Number Information
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NPI Number | 1306197652
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH BARROQUEIRO PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 119 ROUTE 22 CARBON HEALTH URGENT CARE
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City | GREEN BROOK
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State | NJ
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Zip | 08812
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Country | US
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Telephone | 908-333-4234
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Fax | 718-904-2517
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Provider Business Mailing Address
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Address Line | 119 US HIGHWAY 22
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City | GREEN BROOK
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State | NJ
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Zip | 08812-2147
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Country | US
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Telephone | 908-333-4234
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 23016036
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License Number State | NY
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