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General NPI Number Information
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NPI Number | 1124054408
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Entity Type | Individual
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Provider Name | PATRICIA FRANCES YOURCHOCK ORR PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 2505 S WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48186-5431
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Country | US
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Telephone | 734-444-5554
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Fax |
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Provider Business Mailing Address
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Address Line | 31904 HENNEPIN ST
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City | GARDEN CITY
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State | MI
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Zip | 48135-1450
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Country | US
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Telephone | 734-444-5554
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP1118
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704114622
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License Number State | MI
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