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General NPI Number Information
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NPI Number | 1548107402
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Entity Type | Individual
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Provider Name | LAUREN MARTIN
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Gender |
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 12600 ALBROOK DR
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City | DENVER
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State | CO
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Zip | 80239-4604
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Country | US
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Telephone | 303-602-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 4699 KITTREDGE ST UNIT 13310
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City | DENVER
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State | CO
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Zip | 80239-5781
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TL0011516
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License Number State | CO
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