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General NPI Number Information
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NPI Number | 1538367099
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Entity Type | Individual
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Provider Name | LAUREN J MOORE MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 7400 W RAWSON AVE SUITE 120
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City | FRANKLIN
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State | WI
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Zip | 53132
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Country | US
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Telephone | 414-409-1000
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Fax | 414-409-1019
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Provider Business Mailing Address
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Address Line | 7400 W RAWSON AVE SUITE 120
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City | FRANKLIN
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State | WI
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Zip | 53132
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Country | US
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Telephone | 414-409-1000
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Fax | 414-409-1019
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 50458
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License Number State | WI
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