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General NPI Number Information
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NPI Number | 1558236943
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Entity Type | Individual
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Provider Name | LORA PLANK CHEADLE JD, CHT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 8253 W OTERO AVE
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City | LITTLETON
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State | CO
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Zip | 80128-5530
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Country | US
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Telephone | 303-994-4945
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Fax |
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Provider Business Mailing Address
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Address Line | 8253 W OTERO AVE
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City | LITTLETON
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State | CO
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Zip | 80128-5530
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Country | US
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Telephone | 303-994-4945
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | NLC.0010284
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License Number State | CO
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