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General NPI Number Information
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NPI Number | 1154648343
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Entity Type | Individual
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Provider Name | WALTER O. ORELLANA LICSW
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Gender | Male
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 530 NORTH MAIN ST.
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City | PROVIDENCE
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State | RI
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Zip | 02906-2532
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Country | US
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Telephone | 401-276-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 530 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5762
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Country | US
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Telephone | 401-276-4020
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW02248
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License Number State | RI
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