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General NPI Number Information
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NPI Number | 1063513950
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Entity Type | Individual
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Provider Name | LEE ORSKY PA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 53 STATE ST
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City | BOSTON
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State | MA
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Zip | 02109-2820
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | PO BOX 192
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City | UNDERHILL
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State | VT
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Zip | 05489-0192
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Country | US
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Telephone | 802-363-7948
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0550030196
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA4939
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License Number State | MA
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