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General NPI Number Information
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NPI Number | 1588695787
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Entity Type | Individual
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Provider Name | LORIANE BLACK C.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 118 WESTMINSTER PIKE
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1060
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Country | US
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Telephone | 410-876-0086
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Fax | 410-702-7168
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Provider Business Mailing Address
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Address Line | PO BOX 64442
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City | BALTIMORE
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State | MD
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Zip | 21264-4442
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R089387
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License Number State | MD
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