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General NPI Number Information
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NPI Number | 1437197746
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Entity Type | Individual
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Provider Name | BEVERLY HALL LORELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 11/17/2013
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Provider Practice Location Address
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Address Line | 1700 PENNSYLVANIA AVE NW KING & SPALDING, FDA LIFE SCIENCES GROUP
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City | WASHINGTON
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State | DC
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Zip | 20006-4700
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Country | US
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Telephone | 202-383-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WINDING RIVER RD
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City | NEEDHAM
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State | MA
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Zip | 02492-1025
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Country | US
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Telephone | 781-237-7241
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 42092
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License Number State | MA
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