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General NPI Number Information
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NPI Number | 1407170152
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Entity Type | Individual
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Provider Name | LORI K MCCOY R.N.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 3044 DREWERSBURG RD
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City | WEST HARRISON
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State | IN
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Zip | 47060-9641
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Country | US
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Telephone | 812-637-9906
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Fax |
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Provider Business Mailing Address
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Address Line | 3044 DREWERSBURG RD
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City | WEST HARRISON
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State | IN
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Zip | 47060-9641
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Country | US
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Telephone | 812-637-9906
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN-196532
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN-196532
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN-196532
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN-196532
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | RN196532
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License Number State | OH
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