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General NPI Number Information
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NPI Number | 1023330834
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Entity Type | Individual
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Provider Name | LORIE K SIGMON R.PH/
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Gender | Female
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Dates
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Enumeration Date | 02/20/2010
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Last Update Date | 02/20/2010
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Provider Practice Location Address
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Address Line | 3311 RIVERSIDE DR
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City | DANVILLE
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State | VA
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Zip | 24541-3430
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Country | US
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Telephone | 434-799-0162
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Fax |
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Provider Business Mailing Address
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Address Line | 708 LANIERS MILL RD APT 1
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City | DANVILLE
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State | VA
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Zip | 24540-7731
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Country | US
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Telephone | 434-685-3091
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202010116
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302026401
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License Number State | MI
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