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General NPI Number Information
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NPI Number | 1225638950
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Entity Type | Individual
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Provider Name | MAUREEN LORE APRN
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Gender | Female
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Dates
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Enumeration Date | 10/30/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 27 HOSPITAL AVE
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City | DANBURY
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State | CT
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Zip | 06810-5954
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Country | US
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Telephone | 203-730-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 68 WOOSTER ST
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City | BETHEL
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State | CT
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Zip | 06801-1836
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Country | US
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Telephone | 203-788-2328
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9307
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License Number State | CT
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