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General NPI Number Information
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NPI Number | 1659095578
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Entity Type | Individual
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Provider Name | MRS. LAUREN KOEHLER
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Gender | Female
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 13733 OFFICE PARK CT
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City | HUDSON
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State | FL
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Zip | 34667-7144
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Country | US
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Telephone | 418-237-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 841 VILLAGE WAY
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City | PALM HARBOR
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State | FL
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Zip | 34683-2940
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Country | US
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Telephone | 760-855-0184
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 20304
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License Number State | FL
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