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NPI 1043361637

NPI 1043361637 : GRETCHEN ORZECHOWSKI AU.D. CCC-A : DU BOIS, PA

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General NPI Number Information
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    NPI Number           |    1043361637
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    Entity Type          |    Individual 
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    Provider Name        |    GRETCHEN ORZECHOWSKI AU.D. CCC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    900 BEAVER DR 
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    City                 |    DU BOIS
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    State                |    PA
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    Zip                  |    15801-2524
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    Country              |    US
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    Telephone            |    814-371-1085
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    Fax                  |    814-371-6940
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Provider Business Mailing Address
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    Address Line         |    265 OLD WOODS RD 
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    City                 |    DU BOIS
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    State                |    PA
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    Zip                  |    15801-8746
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    Country              |    US
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    Telephone            |    
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    ATO5888
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    License Number State |    PA
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