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General NPI Number Information
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NPI Number | 1114506953
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Entity Type | Organization
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Legal Business Name | OROAIR CORP
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 5461 NEWCASTLE AVE APT 5
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City | ENCINO
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State | CA
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Zip | 91316-2000
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Country | US
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Telephone | 781-307-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 5461 NEWCASTLE AVE APT 5
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City | ENCINO
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State | CA
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Zip | 91316-2000
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Country | US
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Telephone | 781-307-1898
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLEY KUPIEC
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Credential | RDH, MS
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Telephone | 781-307-1898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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