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General NPI Number Information
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NPI Number | 1538325493
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Entity Type | Individual
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Provider Name | LORI L CHERUP MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 701 BOYCE RD
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1225
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Country | US
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Telephone | 412-220-8181
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Fax | 412-220-1150
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Provider Business Mailing Address
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Address Line | 701 BOYCE RD
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1225
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Country | US
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Telephone | 412-220-8181
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Fax | 412-220-1150
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD030907E
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License Number State | PA
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