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General NPI Number Information
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NPI Number | 1770512618
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Entity Type | Individual
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Provider Name | LORI A PRESTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 35 MILES ST
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City | DAMARISCOTTA
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State | ME
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Zip | 04543-4047
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Country | US
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Telephone | 207-563-4837
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Fax |
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Provider Business Mailing Address
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Address Line | 301C US ROUTE ONE MAINE MEDICAL PARTNERS
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City | SCARBOROUGH
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State | ME
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Zip | 04074
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Country | US
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Telephone | 207-396-8600
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Fax | 740-446-5982
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 50684
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 19248
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA143018
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License Number State | ME
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