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General NPI Number Information
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NPI Number | 1710799879
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Entity Type | Individual
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Provider Name | LAUREN KOCH RD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 39 SUN VALLEY WAY
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-1913
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Country | US
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Telephone | 817-600-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 39 SUN VALLEY WAY
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-1913
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Country | US
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Telephone | 817-600-5465
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164008410
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT87050
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-D-10260639
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License Number State | OR
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