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General NPI Number Information
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NPI Number | 1801343157
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Entity Type | Individual
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Provider Name | LORI KOEHLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2016
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 199 REYNOLDS ROAD,
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City | CHESTER
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State | CA
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Zip | 96020-9602
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Country | US
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Telephone | 833-227-3743
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Fax |
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Provider Business Mailing Address
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Address Line | 199 REYNOLDS ROAD,
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City | CHESTER
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State | CA
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Zip | 96020
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Country | US
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Telephone | 106-130-4816
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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 | NP95360029
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2307216
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP015704
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 841731
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License Number State | NV
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