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General NPI Number Information
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NPI Number | 1639914823
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Entity Type | Individual
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Provider Name | LAUREN KRISTINE SCHACKMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2024
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 24272 E PROSPECT AVE
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City | AURORA
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State | CO
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Zip | 80016-5353
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Country | US
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Telephone | 303-228-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 24272 E PROSPECT AVE
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City | AURORA
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State | CO
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Zip | 80016-5353
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Country | US
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Telephone | 425-281-5924
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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 | 00206046
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License Number State | CO
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