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General NPI Number Information
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NPI Number | 1609160191
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Entity Type | Organization
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Legal Business Name | LORA COLEMAN, LCSW, PA
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 10700 CARIBBEAN BLVD STE 203
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City | CUTLER BAY
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State | FL
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Zip | 33189-1224
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Country | US
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Telephone | 305-298-6561
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Fax | 305-969-1293
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Provider Business Mailing Address
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Address Line | 20230 SW 105TH AVE
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City | CUTLER BAY
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State | FL
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Zip | 33189-1313
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Country | US
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Telephone | 305-298-6561
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Fax | 786-293-9985
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Authorized Official
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Title or Position | OWNER
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Name | DR. LORA A COLEMAN
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Credential | LCSW, DNH
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Telephone | 305-298-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW7978
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License Number State | FL
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