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General NPI Number Information
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NPI Number | 1750207338
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Entity Type | Organization
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Legal Business Name | LORZING-WILMOTH FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 76 ELLIOT RD
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City | EAST GREENBUSH
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State | NY
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Zip | 12061
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Country | US
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Telephone | 518-708-9528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-0129
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Country | US
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Telephone | 518-708-9528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TARA LORZING-WILMOTH
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Credential |
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Telephone | 518-708-9528
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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 |
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License Number State |
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