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General NPI Number Information
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NPI Number | 1255634754
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Entity Type | Individual
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Provider Name | MARYLYNN ORLOVSKY M.S.
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Gender | Female
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 133 RIVER RD
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City | SOUTH DEERFIELD
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State | MA
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Zip | 01373-9711
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Country | US
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Telephone | 413-888-2977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | SUNDERLAND
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State | MA
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Zip | 01375-0131
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Country | US
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Telephone | 413-888-2977
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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