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General NPI Number Information
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NPI Number | 1881007433
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Entity Type | Individual
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Provider Name | COEN LAURENS KLOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 805 6TH AVE W STE 100
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4160
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Country | US
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Telephone | 828-693-7230
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Fax | 828-698-0583
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Provider Business Mailing Address
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Address Line | 805 6TH AVE W STE 100
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4160
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Country | US
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Telephone | 828-693-7230
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Fax | 828-698-0583
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | BB4745785-2014014713
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 2023-03132
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License Number State | NC
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