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General NPI Number Information
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NPI Number | 1073579991
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Entity Type | Individual
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Provider Name | LORI D MAGER RD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 77 N AIRLITE ST
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City | ELGIN
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State | IL
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Zip | 60123-4912
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Country | US
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Telephone | 847-888-5461
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 SYRACUSE LN
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City | SCHAUMBURG
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State | IL
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Zip | 60193-3319
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Country | US
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Telephone | 847-895-8038
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | IL
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