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General NPI Number Information
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NPI Number | 1124156575
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Entity Type | Individual
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Provider Name | MICHAEL WAYNE ORR DC
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 4 PROFESSIONAL DR STE 139
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3426
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Country | US
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Telephone | 301-926-2228
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Fax | 301-926-3342
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Provider Business Mailing Address
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Address Line | 1505 ROSEMONT AVE
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City | FREDERICK
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State | MD
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Zip | 21702-4032
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Country | US
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Telephone | 301-698-8282
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Fax | 301-698-8788
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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 | 01886
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License Number State | MD
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