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General NPI Number Information
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NPI Number | 1275599037
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Entity Type | Individual
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Provider Name | WENDY M. ORM M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 1850 W RIO SALADO PKWY STE 209
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City | TEMPE
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State | AZ
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Zip | 85281-5713
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Country | US
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Telephone | 480-877-9106
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Fax | 480-877-9144
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Provider Business Mailing Address
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Address Line | 8249 E APPALOOSA TRL
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1373
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Country | US
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Telephone | 602-799-7662
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Fax | 480-877-9144
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25617
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License Number State | AZ
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