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General NPI Number Information
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NPI Number | 1902378458
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Entity Type | Individual
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Provider Name | LORRAINE ABARO THOMAS PSYD, DRPH
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Gender | Female
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 1221 CALLE DE BARRANCA
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City | REDLANDS
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State | CA
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Zip | 92373-6510
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Country | US
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Telephone | 909-255-2860
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Fax | 909-796-0027
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Provider Business Mailing Address
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Address Line | 1508 BARTON RD # 186
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City | REDLANDS
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State | CA
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Zip | 92373-1410
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Country | US
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Telephone | 909-255-2860
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Fax | 909-796-0027
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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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PSY30267
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | PSY30267
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY30267
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License Number State | CA
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