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General NPI Number Information
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NPI Number | 1922201433
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Entity Type | Individual
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Provider Name | LAUREN WADLAND MEISEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 2390 MITCHELL PARK DR STE A
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City | PETOSKEY
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State | MI
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Zip | 49770-8965
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Country | US
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Telephone | 231-487-2250
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Fax | 231-412-6360
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | ALPENA
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State | MI
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Zip | 49707-0655
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Country | US
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Telephone | 989-736-9815
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Fax | 989-357-3734
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD13266
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | LP01048
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301101691
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A116341
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License Number State | CA
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