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General NPI Number Information
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NPI Number | 1417972878
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Entity Type | Individual
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Provider Name | LORRAINE NARDI MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 1 WEBSTER AVE SUITE 301
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1361
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Country | US
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Telephone | 845-790-6100
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Fax | 845-345-9966
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Provider Business Mailing Address
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Address Line | 243 NORTH RD SUITE 304
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1172
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Country | US
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Telephone | 845-451-7251
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Fax | 845-471-7372
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 145335
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 145335
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License Number State | NY
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