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General NPI Number Information
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NPI Number | 1801139829
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Entity Type | Individual
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Provider Name | LAUREN MARIE PRIOLO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 1 ELLIOT WAY
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City | MANCHESTER
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State | NH
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Zip | 03103-3599
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Country | US
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Telephone | 914-886-3744
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ELLIOT WAY
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City | MANCHESTER
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State | NH
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Zip | 03103-3599
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Country | US
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Telephone | 914-886-3744
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD14343
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 18269
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MD457423
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License Number State | PA
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