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General NPI Number Information
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NPI Number | 1366991341
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Entity Type | Individual
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Provider Name | EVA LORENZ L.M., C.P.M.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2016
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Last Update Date | 10/01/2016
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Provider Practice Location Address
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Address Line | 310 S MISSION ST
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City | WENATCHEE
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State | WA
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Zip | 98801-3044
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Country | US
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Telephone | 703-969-8695
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2896
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City | LEAVENWORTH
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State | WA
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Zip | 98826-2147
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Country | US
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Telephone | 703-969-8695
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW60667520
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License Number State | WA
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