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General NPI Number Information
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NPI Number | 1184252330
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Entity Type | Individual
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Provider Name | ARLENE MARIE LORICA MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 7902 TYSONS ONE PL UNIT 2613
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City | MC LEAN
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State | VA
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Zip | 22102-5239
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Country | US
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Telephone | 301-767-0375
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Fax |
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Provider Business Mailing Address
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Address Line | 8601 CHATEAU DR
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City | POTOMAC
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State | MD
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Zip | 20854-4528
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Country | US
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Telephone | 301-767-0375
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101056560
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License Number State | VA
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