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General NPI Number Information
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NPI Number | 1750248241
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Entity Type | Individual
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Provider Name | LAUREN JESSICA BARLOW DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1643 S SAN JACINTO AVE
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City | SAN JACINTO
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State | CA
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Zip | 92583-5181
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Country | US
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Telephone | 951-654-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 623 NOTTINGHAM DR
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City | REDLANDS
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State | CA
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Zip | 92373-5766
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 112340
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License Number State | CA
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