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General NPI Number Information
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NPI Number | 1356571558
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Entity Type | Individual
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Provider Name | LAUREN M MORALES PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 825 STERLING ST
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1215
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Country | US
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Telephone | 516-860-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 656 SHREWSBURY AVE SUITE 300
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4964
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Country | US
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Telephone | 516-860-6347
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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 | C5-0000670
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 013852
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2732
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00406700
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License Number State | NJ
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