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General NPI Number Information
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NPI Number | 1437943982
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Entity Type | Individual
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Provider Name | LAUREN ROSE GRDINA MD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 600 ROE AVE
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City | ELMIRA
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State | NY
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Zip | 14905-1676
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Country | US
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Telephone | 607-737-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 8080 PINEHURST DR
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City | KIRTLAND
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State | OH
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Zip | 44094-8510
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Country | US
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Telephone | 440-789-2636
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Fax | 440-789-2636
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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