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General NPI Number Information
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NPI Number | 1609034578
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Entity Type | Individual
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Provider Name | LORRAINE M STANCO MD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 7910 FROST ST STE 425
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City | SAN DIEGO
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State | CA
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Zip | 92123-2795
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Country | US
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Telephone | 858-278-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 7910 FROST ST STE 425
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City | SAN DIEGO
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State | CA
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Zip | 92123-2795
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Country | US
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Telephone | 858-278-7400
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | G63484
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G63484
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License Number State | CA
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