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General NPI Number Information
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NPI Number | 1154876126
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Entity Type | Individual
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Provider Name | LORAYNE BETH LOSCH L.C, S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 185 WEST END AVENUE SUITE 1C
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 917-678-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 150 WEST END AVENUE APT, 22D
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 917-670-1252
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | R012124-1
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License Number State | NY
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