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General NPI Number Information
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NPI Number | 1164749917
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Entity Type | Individual
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Provider Name | LORI A GAUTHIER RN, CNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE. ML 11013
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City | CINCINNATI
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State | OH
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Zip | 45229-3039
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Country | US
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Telephone | 513-636-5535
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Fax | 513-636-9653
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Provider Business Mailing Address
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Address Line | 2139 AUBURN AVE ML 11013
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-636-5535
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Fax | 513-636-9653
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 341532
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2344955
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN308729
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11024639
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71015971A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN02523
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License Number State | RI
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4001608
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP022576
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License Number State | PA
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