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General NPI Number Information
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NPI Number | 1356890834
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Entity Type | Individual
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Provider Name | LORIE ELLEN PISTONE
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 1880 N CONGRESS AVE STE 303A
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8671
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Country | US
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Telephone | 561-734-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 940 SWEETWATER LN APT. 516
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City | BOCA RATON
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State | FL
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Zip | 33431-7132
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Country | US
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Telephone | 561-465-3431
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9386019
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9386019
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License Number State | FL
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