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General NPI Number Information
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NPI Number | 1821646134
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Entity Type | Individual
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Provider Name | LAUREN SPATHIAS DMD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 5412 MONTGOMERY HWY STE 8
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City | DOTHAN
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State | AL
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Zip | 36303-1657
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Country | US
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Telephone | 334-983-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 5412 MONTGOMERY HWY STE 8
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City | DOTHAN
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State | AL
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Zip | 36303-1657
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Country | US
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Telephone | 334-983-1730
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60979247
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 38366
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D.007529
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License Number State | AL
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