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General NPI Number Information
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NPI Number | 1275746356
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER J. ORENIC OD INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2101 ROSECRANS AVE SUITE 1215
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City | EL SEGUNDO
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State | CA
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Zip | 90245
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Country | US
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Telephone | 310-321-6990
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Fax | 310-321-6170
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Provider Business Mailing Address
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Address Line | 2101 ROSECRANS AVE SUITE 1215
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City | EL SEGUNDO
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State | CA
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Zip | 90245
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Country | US
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Telephone | 310-321-6990
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Fax | 310-321-6170
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER J ORENIC
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Credential | O.D.
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Telephone | 310-321-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10056T
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License Number State | CA
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