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General NPI Number Information
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NPI Number | 1770436941
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Entity Type | Individual
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Provider Name | LORI CDEBACA DURAN RN
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 720 OLD SNELLVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-6200
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Country | US
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Telephone | 770-338-1680
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Fax | 770-338-7329
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Provider Business Mailing Address
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Address Line | 720 OLD SNELLVILLE HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-6200
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Country | US
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Telephone | 770-338-1680
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Fax | 770-338-7329
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN223021
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License Number State | GA
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