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General NPI Number Information
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NPI Number | 1962072314
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Entity Type | Individual
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Provider Name | LAUREN LOUIS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 1180 N COIT RD STE 50
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City | PROSPER
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State | TX
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Zip | 75078-9819
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Country | US
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Telephone | 972-347-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 546 ROLLING HILLS RD
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City | COPPELL
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State | TX
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Zip | 75019-4049
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Country | US
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Telephone | 972-345-2770
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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 | 37342
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License Number State | TX
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