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General NPI Number Information
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NPI Number | 1598033839
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Entity Type | Individual
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Provider Name | LAUREN LEE BAH D.C
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Gender | Female
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 13150 NE HALSEY ST
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City | PORTLAND
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State | OR
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Zip | 97230-2350
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Country | US
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Telephone | 503-252-5911
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Fax | 503-254-1203
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Provider Business Mailing Address
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Address Line | 13150 NE HALSEY ST
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City | PORTLAND
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State | OR
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Zip | 97230-2350
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Country | US
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Telephone | 503-252-5911
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Fax | 503-254-1203
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 547
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11921
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5128
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License Number State | OR
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