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General NPI Number Information
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NPI Number | 1134412448
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Entity Type | Individual
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Provider Name | LORI CULLEN ZORC EDD, CRNP, ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 5530 WISCONSIN AVE SUITE 1455
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4404
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Country | US
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Telephone | 301-656-9010
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Fax | 301-656-9011
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Provider Business Mailing Address
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Address Line | 8608 COUNTRY CLUB DR
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City | BETHESDA
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State | MD
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Zip | 20817-4578
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Country | US
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Telephone | 301-365-9485
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Fax | 301-365-9486
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R177130
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License Number State | MD
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