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General NPI Number Information
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NPI Number | 1881172450
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Entity Type | Individual
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Provider Name | LAUREN FLYNN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2018
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 5285 DALLAS PKWY STE 500
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City | FRISCO
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State | TX
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Zip | 75034-9634
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Country | US
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Telephone | 817-576-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 5285 DALLAS PKWY STE 500
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City | FRISCO
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State | TX
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Zip | 75034-9634
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Country | US
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Telephone | 817-576-1577
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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 | 33063
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 33063
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License Number State | TX
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