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General NPI Number Information
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NPI Number | 1497407639
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE HIRSCHHORN-TIEU RD
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Gender | Female
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 05/10/2026
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Provider Practice Location Address
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Address Line | 166 VALLEY ST BLDG 6M
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City | PROVIDENCE
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State | RI
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Zip | 02909-2400
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Country | US
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Telephone | 908-414-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 17200 E ILIFF AVE STE A121038
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City | AURORA
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State | CO
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Zip | 80013-5833
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Country | US
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Telephone | 908-414-0000
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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