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General NPI Number Information
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NPI Number | 1114901774
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Entity Type | Individual
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Provider Name | PATRICIA K OROURKE DC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3401 WOODVILLE RD SUITE F
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City | NORTHWOOD
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State | OH
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Zip | 43619-1529
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Country | US
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Telephone | 419-693-0719
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Fax | 419-693-0710
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Provider Business Mailing Address
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Address Line | PO BOX 172
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City | MILLBURY
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State | OH
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Zip | 43447-0172
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Country | US
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Telephone | 419-693-0719
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Fax | 419-693-0710
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 543
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License Number State | OH
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