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General NPI Number Information
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NPI Number | 1962581264
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Entity Type | Individual
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Provider Name | CATHERINE A LORELLO-SNOW RNC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 477 CONGRESS ST STE 408
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City | PORTLAND
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State | ME
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Zip | 04101-3431
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Country | US
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Telephone | 207-773-7811
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Fax | 207-773-0663
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Provider Business Mailing Address
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Address Line | 899 RIVERSIDE ST
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City | PORTLAND
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State | ME
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Zip | 04103-1070
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Country | US
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Telephone | 207-871-1200
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Fax | 207-871-1232
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | C193
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License Number State | ME
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