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General NPI Number Information
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NPI Number | 1942420427
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Entity Type | Individual
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Provider Name | LORNA PEREZ SAA RPT
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3219 E TREMONT AVE COMPLETE SPINAL REHABILITATION, LL3
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City | BRONX
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State | NY
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Zip | 10461-5751
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Country | US
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Telephone | 718-892-2022
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Fax | 718-892-2144
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Provider Business Mailing Address
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Address Line | 1718 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-6204
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Country | US
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Telephone | 718-822-1166
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 018295-1
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License Number State | NY
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