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General NPI Number Information
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NPI Number | 1174973846
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Entity Type | Individual
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Provider Name | KATELYN ORSLENE O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 5256 ROUTE 30 STE 235
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City | GREENSBURG
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State | PA
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Zip | 15601-7829
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Country | US
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Telephone | 724-834-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 235 HUMPHREY RD PINE VIEW PLACE SUITE 1
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City | GREENSBURG
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State | PA
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Zip | 15601-4579
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Country | US
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Telephone | 723-834-8033
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003161
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License Number State | PA
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