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General NPI Number Information
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NPI Number | 1205812849
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Entity Type | Individual
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Provider Name | ABEGAEL N LORICO MD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 7602 CENTRAL AVE STE 201
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City | PHILA
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State | PA
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Zip | 19111-2443
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Country | US
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Telephone | 215-745-8989
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Fax | 215-745-9072
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Provider Business Mailing Address
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Address Line | 741 BROADWAY
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City | NEWARK
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State | NJ
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Zip | 07104-4309
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Country | US
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Telephone | 973-483-1300
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Fax | 973-676-1396
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA10339000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD034135L
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License Number State | PA
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