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General NPI Number Information
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NPI Number | 1275557597
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Entity Type | Individual
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Provider Name | LORNA ELIZABETH RUSSELL MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 604 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-4419
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Country | US
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Telephone | 903-785-3813
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Fax | 903-785-3038
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Provider Business Mailing Address
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Address Line | 1701 COUNTY ROAD 33620
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City | PARIS
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State | TX
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Zip | 75460-0628
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Country | US
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Telephone | 903-784-8565
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Fax | 903-785-3038
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G5561
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License Number State | TX
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