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General NPI Number Information
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NPI Number | 1386633188
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Entity Type | Individual
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Provider Name | FRANK E LORCH IV MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 3030 RANDOLPH ROAD SUITE 105
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City | CHARLOTTE
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State | NC
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Zip | 28211-1365
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Country | US
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Telephone | 704-863-4878
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Fax | 704-896-0387
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Provider Business Mailing Address
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Address Line | PO BOX 602148
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City | CHARLOTTE
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State | NC
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Zip | 28260-2148
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Country | US
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Telephone | 704-863-4878
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Fax | 704-896-0387
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 200201121
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 200201121
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License Number State | NC
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