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General NPI Number Information
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NPI Number | 1437542503
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Entity Type | Organization
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Legal Business Name | RACHEL L. LORENZ, DMD, MMSC, PC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 409 POND ST SUITE 5
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City | BRAINTREE
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State | MA
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Zip | 02184-6850
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Country | US
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Telephone | 781-848-6422
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GERALDINE LN
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City | BRAINTREE
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State | MA
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Zip | 02184-8229
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Country | US
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Telephone | 617-827-9150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RACHEL LISA LORENZ
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Credential | DMD, MMSC
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Telephone | 617-827-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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