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NPI 1104106186

NPI 1104106186 : LORIANNE E PEREIRA DO, PC : ORCHARD PARK, NY

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General NPI Number Information
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    NPI Number           |    1104106186
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    Entity Type          |    Organization 
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    Legal Business Name  |    LORIANNE E PEREIRA DO, PC 
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Dates
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    Enumeration Date     |    08/23/2011
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    Last Update Date     |    08/23/2011
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Provider Practice Location Address
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    Address Line         |    3671 SOUTHWESTERN BLVD SUITE 107
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    City                 |    ORCHARD PARK
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    State                |    NY
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    Zip                  |    14127-1752
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    Country              |    US
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    Telephone            |    716-608-3525
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    Fax                  |    716-667-2063
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Provider Business Mailing Address
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    Address Line         |    908 NIAGARA FALLS BLVD SUITE 208
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    City                 |    NORTH TONAWANDA
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    State                |    NY
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    Zip                  |    14120-2019
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    Country              |    US
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    Telephone            |    716-692-3302
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    Fax                  |    716-332-3525
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Authorized Official
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    Title or Position    |    MD/OWNER
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    Name                 |    DR. LORIANNE ELIZABETH PEREIRA 
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    Credential           |    MD
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    Telephone            |    716-608-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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