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General NPI Number Information
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NPI Number | 1215731393
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Entity Type | Individual
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Provider Name | DANA LORA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 708 S MILLER ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-6230
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Country | US
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Telephone | 805-928-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 212 PARKVIEW CT
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City | VANDENBERG AFB
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State | CA
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Zip | 93437-1474
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Country | US
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Telephone | 609-906-1715
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07026000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW129251
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License Number State | CA
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