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General NPI Number Information
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NPI Number | 1386038305
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Entity Type | Individual
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Provider Name | LAUREN SIRECI DDS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1004 LOWER SHILOH WAY STE 103
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City | MORRISVILLE
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State | NC
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Zip | 27560-5431
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Country | US
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Telephone | 919-472-0910
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Fax |
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Provider Business Mailing Address
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Address Line | 303 NORTHWOOD DR
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City | RALEIGH
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State | NC
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Zip | 27609-5264
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Country | US
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Telephone | 914-309-5418
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10389
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License Number State | NC
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