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General NPI Number Information
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NPI Number | 1336255819
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Entity Type | Individual
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Provider Name | SUSAN LORENCZ FNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | GIRLTALK & GYNECOLOGY 4251 ARENDELL ST. SUITE C
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City | MOREHEAD CITY
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State | NC
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Zip | 28557
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Country | US
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Telephone | 252-222-0660
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Fax | 252-222-0663
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Provider Business Mailing Address
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Address Line | GIRLTALK & GYNECOLOGY 4251 ARENDELL ST. SUITE C
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City | MOREHEAD CITY
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State | NC
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Zip | 28557
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Country | US
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Telephone | 252-222-0660
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Fax | 252-222-0663
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5002029
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License Number State | NC
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