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General NPI Number Information
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NPI Number | 1164773388
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Entity Type | Organization
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Legal Business Name | BLANKA ORLOFF MD, INC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 2701 W ALAMEDA AVE STE 401
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City | BURBANK
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State | CA
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Zip | 91505-4409
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Country | US
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Telephone | 818-848-0590
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 W ALAMEDA AVE STE 401
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City | BURBANK
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State | CA
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Zip | 91505-4409
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Country | US
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Telephone | 818-848-0590
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | BLANKA ANN ORLOFF
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Credential | M.D
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Telephone | 818-848-0590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G71818
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License Number State | CA
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