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General NPI Number Information
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NPI Number | 1013081645
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Entity Type | Individual
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Provider Name | DIANE LORANGER PE
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 6 WELLSPRING RD SUITE 4
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City | BIDDEFORD
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State | ME
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Zip | 04005-9415
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Country | US
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Telephone | 207-423-2543
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 331
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City | SACO
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State | ME
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Zip | 04072-0331
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Country | US
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Telephone | 207-423-2543
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PE721
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License Number State | ME
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