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NPI 1285963520

NPI 1285963520 : BARRY S ORLOVE : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1285963520
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARRY S ORLOVE 
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Dates
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    Enumeration Date     |    12/16/2009
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    Last Update Date     |    12/16/2009
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Provider Practice Location Address
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    Address Line         |    1717 N FEDERAL HWY 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33460-6642
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    Country              |    US
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    Telephone            |    561-352-1602
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    236 DOWN EAST LN 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467-2639
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    Country              |    US
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    Telephone            |    561-352-1602
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNEWR
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    Name                 |    DR. BARRY SCOTT ORLOVE 
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    Credential           |    D.C.
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    Telephone            |    561-352-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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