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General NPI Number Information
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NPI Number | 1154406270
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Entity Type | Organization
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Legal Business Name | ORME MEDICAL PLLC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 65 LAKEVIEW DR
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City | CLINTON
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State | MS
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Zip | 39056-5221
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Country | US
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Telephone | 601-924-1744
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Fax | 601-924-7406
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Provider Business Mailing Address
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Address Line | 123A HIGHWAY 80 E # 243
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City | CLINTON
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State | MS
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Zip | 39056-4738
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Country | US
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Telephone | 601-951-4048
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIRBY J ORME
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Credential | MD
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Telephone | 601-951-4048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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