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General NPI Number Information
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NPI Number | 1730079120
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Entity Type | Individual
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Provider Name | LAUREN GRACE HARROD PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 340 S WHITNEY WAY STE 100
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City | MADISON
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State | WI
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Zip | 53705-4631
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Country | US
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Telephone | 608-709-8089
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Fax |
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Provider Business Mailing Address
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Address Line | 6970 PINE SISKIN PL
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City | MIDDLETON
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State | WI
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Zip | 53562-8904
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Country | US
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Telephone | 608-556-3033
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8480-23
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License Number State | WI
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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 | 8480-23
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License Number State | WI
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