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NPI 1023572179

NPI 1023572179 : LORI A DROPPERS : GRAND RAPIDS, MI

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General NPI Number Information
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    NPI Number           |    1023572179
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    Entity Type          |    Individual 
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    Provider Name        |    LORI A DROPPERS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/23/2019
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    Last Update Date     |    01/23/2019
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Provider Practice Location Address
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    Address Line         |    1430 MONROE ST 
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    City                 |    GRAND RAPIDS
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    State                |    MI
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    Zip                  |    49505
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    Country              |    US
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    Telephone            |    616-685-8800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5721 LAKESHORE DR N 
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    City                 |    HOLLAND
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    State                |    MI
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    Zip                  |    49424
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    Country              |    US
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    Telephone            |    407-496-5178
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5501003103
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    License Number State |    MI
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