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General NPI Number Information
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NPI Number | 1437424728
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH BARLOG
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Gender | Female
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 185 S ORANGE AVE MEDICAL SCIENCE BUILDING E510
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City | NEWARK
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State | NJ
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Zip | 07103-2757
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Country | US
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Telephone | 973-972-4197
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Fax |
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Provider Business Mailing Address
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Address Line | 206 WASHINGTON PARK #6
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City | BROOKLYN
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State | NY
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Zip | 11205-4025
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Country | US
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Telephone | 716-572-1200
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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 | 207VB0002X
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Taxonomy Name | Obesity Medicine (Obstetrics & Gynecology) Physician
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License Number | 301362
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA09885000
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License Number State | NJ
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