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General NPI Number Information
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NPI Number | 1841903747
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Entity Type | Individual
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Provider Name | ELIZABETH JEANNETTE LORING
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Gender | Female
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 500 E MAIN ST STE 322
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City | BRANFORD
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State | CT
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Zip | 06405-2929
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Country | US
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Telephone | 203-535-3021
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Fax |
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Provider Business Mailing Address
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Address Line | 511 MAIN ST APT G3
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City | WEST HAVEN
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State | CT
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Zip | 06516-4258
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Country | US
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Telephone | 203-509-1716
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6030
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License Number State | CT
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