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General NPI Number Information
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NPI Number | 1922261346
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH MATTEINI MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 1710 N RANDALL RD STE 140
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City | ELGIN
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State | IL
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Zip | 60123-9401
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Country | US
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Telephone | 224-293-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 N RANDALL RD
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City | ELGIN
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State | IL
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Zip | 60123-9400
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Country | US
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Telephone | 224-293-1170
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036.140622
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License Number State | IL
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