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General NPI Number Information
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NPI Number | 1063427516
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Entity Type | Organization
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Legal Business Name | ORRELL ENTERPRISES INCORPORATED
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 209 CARTER ST
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City | BERRYVILLE
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State | AR
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Zip | 72616-4303
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Country | US
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Telephone | 870-423-6677
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Fax | 870-423-5725
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Provider Business Mailing Address
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Address Line | 209 CARTER ST
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City | BERRYVILLE
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State | AR
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Zip | 72616-4303
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Country | US
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Telephone | 870-423-6677
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Fax | 870-423-5725
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES ORRELL
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Credential |
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Telephone | 871-423-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR11948
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License Number State | AR
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