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General NPI Number Information
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NPI Number | 1811791056
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Entity Type | Individual
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Provider Name | LAUREN GOODMAN NP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 9730 WILSHIRE BLVD STE 111
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2003
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Country | US
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Telephone | 805-720-0133
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 MEADOWBROOK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-2815
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Country | US
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Telephone | 805-720-0133
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 95148672
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95040421
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License Number State | CA
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