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General NPI Number Information
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NPI Number | 1477818938
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Entity Type | Individual
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Provider Name | LAUREN P KELLER DO
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 1495 RIVER PARK DR STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-4517
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Country | US
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Telephone | 916-925-7020
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Fax | 916-925-3680
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Provider Business Mailing Address
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Address Line | 1495 RIVER PARK DR STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95815-4517
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Country | US
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Telephone | 916-925-7020
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Fax | 916-925-3680
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | UO3194
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 20A13001
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License Number State | CA
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