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General NPI Number Information
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NPI Number | 1053769166
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Entity Type | Organization
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Legal Business Name | LORENZO HOLISTIC HEALTH CENTER
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 3681 SOUTH GREEN ROAD SUITE 406
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 440-942-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 3681 SOUTH GREEN ROAD SUITE 406
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 440-942-3100
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | MR. ANTHONY J. LORENZO
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Credential | LAC.
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Telephone | 440-942-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000247
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License Number State | OH
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