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General NPI Number Information
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NPI Number | 1356803001
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Entity Type | Individual
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Provider Name | LAUREN SEO MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 141 CAMINO ALTO STE 2
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City | MILL VALLEY
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State | CA
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Zip | 94941-2219
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Country | US
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Telephone | 415-388-5100
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Fax | 415-388-5155
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Provider Business Mailing Address
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Address Line | 207 DACIAN AVE
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City | DURHAM
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State | NC
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Zip | 27701-1901
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Country | US
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Telephone | 818-970-7636
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 2024-01748
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | A204377
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2024-01748
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 323916
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License Number State | NY
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