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General NPI Number Information
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NPI Number | 1306898762
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Entity Type | Individual
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Provider Name | LORIANNE ELIZABETH AVINO D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 3671 SOUTHWESTERN BLVD SUITE 107
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1752
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Country | US
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Telephone | 716-667-2064
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Fax | 716-667-2063
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Provider Business Mailing Address
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Address Line | 400 INTERNATIONAL DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5771
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Country | US
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Telephone | 716-631-3555
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Fax | 716-631-9525
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 91475
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DO201115
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2020032177
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20791
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 237910-1
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License Number State | NY
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