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General NPI Number Information
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NPI Number | 1225660269
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Entity Type | Individual
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Provider Name | SEAN ALEXANDER ORR LAC
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Gender | Male
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 4025 MACARTHUR AVE
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City | RICHMOND
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State | VA
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Zip | 23227-4050
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Country | US
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Telephone | 804-203-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 CHELTON RD
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City | RICHMOND
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State | VA
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Zip | 23228-5015
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Country | US
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Telephone | 804-203-2871
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121-000895
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License Number State | VA
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