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General NPI Number Information
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NPI Number | 1326584186
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Entity Type | Individual
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Provider Name | LAUREN ANN TARRANT SP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 100 ROWLAND WAY STE 205
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City | NOVATO
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State | CA
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Zip | 94945-5041
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Country | US
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Telephone | 415-492-4870
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Fax | 415-492-7871
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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Country | US
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Telephone | 415-492-4870
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Fax | 415-492-7871
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 29248
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License Number State | CA
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