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General NPI Number Information
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NPI Number | 1699105171
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Entity Type | Individual
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Provider Name | MRS. LORI DRUDING
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Gender | Female
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 1332 S LAWRENCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-5921
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Country | US
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Telephone | 215-389-1879
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Fax |
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Provider Business Mailing Address
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Address Line | 5 WINTERBERRY CT
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3256
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Country | US
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Telephone | 609-707-2264
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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