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General NPI Number Information
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NPI Number | 1053978924
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Entity Type | Individual
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Provider Name | LANAH KOH DO
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Gender | Female
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Dates
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Enumeration Date | 05/25/2019
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 25 HOPE DR
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City | HEATH
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State | TX
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Zip | 75032-2057
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Country | US
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Telephone | 469-361-2270
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Fax | 469-361-2273
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | FATE
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State | TX
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Zip | 75132-0036
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Country | US
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Telephone | 469-379-2775
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Fax | 706-973-3439
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | V1814
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License Number State | TX
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