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General NPI Number Information
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NPI Number | 1427941582
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE PETERSON DDS
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1615 TRUEMPER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78236-5511
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Country | US
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Telephone | 210-292-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 WILFORD HALL LOOP
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City | SAN ANTONIO
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-0691
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 00206328
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License Number State | CO
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