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General NPI Number Information
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NPI Number | 1487595732
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Entity Type | Individual
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Provider Name | LAUREN COFFMAN
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Gender |
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 16082 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66085-9249
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Country | US
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Telephone | 913-660-5965
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Fax |
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Provider Business Mailing Address
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Address Line | 5704 E 198TH CIR
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City | BELTON
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State | MO
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Zip | 64012-3676
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Country | US
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Telephone |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | TMP-163442
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License Number State | KS
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