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General NPI Number Information
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NPI Number | 1306499561
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Entity Type | Individual
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Provider Name | LAUREN TOMLINSON DMD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 2896 S 8TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4462
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Country | US
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Telephone | 904-671-8364
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Fax |
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Provider Business Mailing Address
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Address Line | 2896 S 8TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4462
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Country | US
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Telephone | 46-718-3649
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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 | 9424
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 27704
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License Number State | FL
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