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General NPI Number Information
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NPI Number | 1164422432
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Entity Type | Individual
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Provider Name | LORENVER O PO MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 2 HOSPITAL DR SUITE 101 HOLYOKE ASSOCIATES IN INTERNAL MEDICINE
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-536-8924
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Fax | 413-532-9141
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Provider Business Mailing Address
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Address Line | 15 HOSPITAL DR. WESTERN MASS PHYSICIAN ASSOCIATES INC
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City | HOLYOKE
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State | MA
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Zip | 01040
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Country | US
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Telephone | 413-533-3470
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Fax | 413-533-6859
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 215625
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License Number State | MA
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