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General NPI Number Information
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NPI Number | 1972511780
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Entity Type | Individual
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Provider Name | DIANA LORING-GREY P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 3908 FLATIRON LOOP UNIT 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7828
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Country | US
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Telephone | 813-779-6303
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Fax | 888-977-1998
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Provider Business Mailing Address
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Address Line | 3908 FLATIRON LOOP UNIT 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7828
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Country | US
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Telephone | 813-779-6303
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Fax | 888-977-1998
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9101261
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License Number State | FL
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