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General NPI Number Information
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NPI Number | 1326866278
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Entity Type | Individual
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Provider Name | LAUREN HALL
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 44093 S GRIMMER BLVD
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City | FREMONT
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State | CA
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Zip | 94538-6382
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Country | US
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Telephone | 510-284-7057
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Fax |
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Provider Business Mailing Address
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Address Line | 106 SAN PABLO TOWNE CTR # 107
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City | SAN PABLO
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State | CA
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Zip | 94806-3926
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Country | US
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Telephone | 445-444-6857
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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