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General NPI Number Information
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NPI Number | 1255671517
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Entity Type | Individual
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Provider Name | NICOLE LORENZ D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 44670 ANN ARBOR RD W STE 140
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City | PLYMOUTH
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State | MI
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Zip | 48170-3962
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Country | US
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Telephone | 734-673-8545
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Fax | 866-992-1811
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Provider Business Mailing Address
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Address Line | 8489 KINGSLEY DR
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City | CANTON
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State | MI
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Zip | 48187-1915
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Country | US
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Telephone | 346-586-5227
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Fax | 866-992-1811
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501016215
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License Number State | MI
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