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General NPI Number Information
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NPI Number | 1669665253
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Entity Type | Individual
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Provider Name | ADRIENNE LORETZ D.P.M
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Gender | Female
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 3461 WARRENSVILLE CENTER RD SUITE 201
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5260
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Country | US
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Telephone | 216-561-3303
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Fax | 216-561-7790
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Provider Business Mailing Address
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Address Line | 3461 WARRENSVILLE CENTER RD SUITE 201
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5260
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Country | US
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Telephone | 216-561-3303
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Fax | 216-561-7790
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.003520
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36003520
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License Number State | OH
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