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General NPI Number Information
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NPI Number | 1063783512
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Entity Type | Individual
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Provider Name | CHRISTY LORSON R.D.H., A.P., B.S.
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Gender | Female
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Dates
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Enumeration Date | 01/14/2012
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Last Update Date | 01/14/2012
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Provider Practice Location Address
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Address Line | 1750 CURRY COMB DR
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City | SAN MARCOS
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State | CA
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Zip | 92069-1304
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Country | US
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Telephone | 760-703-0927
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 CURRY COMB DR
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City | SAN MARCOS
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State | CA
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Zip | 92069-1304
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Country | US
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Telephone |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 310
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 22445
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License Number State | CA
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