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General NPI Number Information
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NPI Number | 1992514814
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Entity Type | Individual
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Provider Name | LAUREN MICHON KLAICH
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1695 CIRCLE DR
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City | RENO
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State | NV
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Zip | 89509-3210
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Country | US
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Telephone | 775-870-7598
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Fax |
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Provider Business Mailing Address
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Address Line | 1695 CIRCLE DR
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City | RENO
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State | NV
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Zip | 89509-3210
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Country | US
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Telephone | 775-870-7598
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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