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General NPI Number Information
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NPI Number | 1366761611
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Entity Type | Individual
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Provider Name | CATHERINE MARIE LORING FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 7218 VAN NUYS BLVD SUITE D
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City | VAN NUYS
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State | CA
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Zip | 91405-6804
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Country | US
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Telephone | 818-997-7575
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Fax | 818-997-7577
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Provider Business Mailing Address
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Address Line | 882 HARTGLEN AVE
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-2025
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Country | US
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Telephone | 805-370-8090
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Fax | 805-370-8090
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19669
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License Number State | CA
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