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General NPI Number Information
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NPI Number | 1629069653
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Entity Type | Individual
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Provider Name | DAVID M LAUREN D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 01/17/2016
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Provider Practice Location Address
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Address Line | 3000 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-4311
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Country | US
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Telephone | 202-969-2000
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Fax | 203-504-8733
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Provider Business Mailing Address
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Address Line | 3000 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-4311
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Country | US
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Telephone | 202-969-2000
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Fax | 203-504-8733
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34005575L
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47449
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License Number State | CT
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