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General NPI Number Information
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NPI Number | 1649787797
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Entity Type | Individual
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Provider Name | LORIE A GEORGE
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Gender | Female
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1000 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-4739
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Country | US
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Telephone | 401-533-9100
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Fax | 401-533-9105
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Provider Business Mailing Address
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Address Line | 1000 EDDY ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-4739
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Country | US
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Telephone | 401-533-9100
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Fax | 401-533-9105
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | PTA01163
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA01163
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License Number State | RI
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