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General NPI Number Information
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NPI Number | 1972558559
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Entity Type | Individual
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Provider Name | LISA A LORING MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 725 NORTH ST RADIOLOGY DEPARTMENT
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City | PITTSFIELD
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State | MA
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Zip | 01201-4132
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Country | US
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Telephone | 413-447-2453
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Fax | 413-447-2441
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Provider Business Mailing Address
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Address Line | 2527 CRANBERRY HWY
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City | WAREHAM
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State | MA
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Zip | 02571-1046
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Country | US
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Telephone | 800-841-5200
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Fax | 508-273-1241
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 154310
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License Number State | MA
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