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General NPI Number Information
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NPI Number | 1548966948
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Entity Type | Individual
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Provider Name | LORELLE KATZ DC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 9755 76TH ST STE 730
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-1925
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Country | US
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Telephone | 913-944-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 10902 75TH ST APT 203
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City | KENOSHA
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State | WI
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Zip | 53142-8393
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5777-12
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License Number State | WI
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