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General NPI Number Information
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NPI Number | 1083778732
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Entity Type | Organization
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Legal Business Name | D ELIZABETH ORSBURN MD PLC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 406 W 1ST ST SUITE A
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City | LIVINGSTON
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State | TN
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Zip | 38570-1468
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Country | US
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Telephone | 931-403-3773
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Fax | 931-403-3775
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Provider Business Mailing Address
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Address Line | PO BOX 215
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City | LIVINGSTON
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State | TN
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Zip | 38570-0215
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Country | US
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Telephone | 931-403-3773
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Fax | 931-403-3775
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | DR. DOROTHY ELIZABETH ORSBURN
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Credential | MD
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Telephone | 931-403-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 39790
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License Number State | TN
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