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General NPI Number Information
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NPI Number | 1811867179
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Entity Type | Individual
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Provider Name | LORI RUGG CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE STE 53
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3415
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Country | US
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Telephone | 610-658-1928
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Fax | 484-476-7816
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Provider Business Mailing Address
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Address Line | 631 OLD SCHOOL HOUSE DR
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City | SPRINGFIELD
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State | PA
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Zip | 19064-1543
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Country | US
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Telephone | 856-430-1065
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP033546
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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 | SP033546
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License Number State | PA
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