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General NPI Number Information
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NPI Number | 1801848759
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Entity Type | Individual
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Provider Name | LAUREN HALBY MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 104 PRO RODEO DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2334
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Country | US
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Telephone | 719-632-4455
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Fax | 360-462-5181
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Provider Business Mailing Address
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Address Line | 4760 FLINTRIDGE DR SUITE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4267
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Country | US
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Telephone | 719-598-9446
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Fax | 719-598-5734
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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 | 36437
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License Number State | CO
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