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General NPI Number Information
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NPI Number | 1720175102
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Entity Type | Organization
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Legal Business Name | LORI A NORMAN
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 567 UNIONVILLE RD
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-4701
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Country | US
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Telephone | 610-444-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 567 UNIONVILLE RD
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-4701
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Country | US
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Telephone | 610-444-3356
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LORI ANN NORMAN
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Credential | CRNA MS
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Telephone | 610-444-3356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | PA
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