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General NPI Number Information
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NPI Number | 1073633129
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Entity Type | Individual
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Provider Name | LORI JEAN ANDERSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 11/26/2022
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Provider Practice Location Address
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Address Line | HEALTH CARE FELLOW US REP MICHAEL BURGESS MD USHOUSE OF REPRESENTATIVES 2241 RAYBURN HOUSE OFFC BLDG
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City | WASHINGTON
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State | DC
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Zip | 20515-0001
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Country | US
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Telephone | 202-225-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 S VEITCH ST #407
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City | ARLINGTON
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State | VA
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Zip | 22206-3025
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Country | US
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Telephone | 424-731-2588
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0069814
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A76889
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License Number State | CA
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