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General NPI Number Information
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NPI Number | 1730164450
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Entity Type | Individual
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Provider Name | LORRAINE WENTZ BOCK CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 9 E HIGH ST
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City | CARLISLE
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State | PA
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Zip | 17013-3016
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Country | US
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Telephone | 717-440-0098
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Fax | 717-918-5784
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Provider Business Mailing Address
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Address Line | 20 DANNAH DR
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City | CARLISLE
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State | PA
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Zip | 17015-7924
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Country | US
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Telephone | 717-440-0098
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Fax | 717-918-5784
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TP-003409-B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN167340
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License Number State | MA
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