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General NPI Number Information
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NPI Number | 1831254663
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Entity Type | Individual
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Provider Name | LORI E. PASCHAL DDS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 100 W CHASON ST
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City | DONALSONVILLE
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State | GA
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Zip | 39845-1284
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Country | US
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Telephone | 404-971-2811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | FAIRBURN
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State | GA
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Zip | 30213-0519
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Country | US
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Telephone | 404-971-2811
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN011741
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License Number State | GA
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