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General NPI Number Information
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NPI Number | 1043611734
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Entity Type | Individual
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Provider Name | KIMBERLY G ORR OD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1577 B NEW GARDENS RD
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City | GREENSBORO
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State | NC
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Zip | 27410-2798
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Country | US
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Telephone | 336-553-0800
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Fax | 336-553-0353
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Provider Business Mailing Address
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Address Line | 6208 BUCKHORN RD
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City | GREENSBORO
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State | NC
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Zip | 27410-3124
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Country | US
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Telephone | 919-414-6938
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Fax | 336-434-6680
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | NC2391
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License Number State | NC
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