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General NPI Number Information
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NPI Number | 1306000385
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Entity Type | Individual
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Provider Name | MARY B ORR LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1710 HARRISON STREET WHITE RIVER MEDICAL CENTER, SENIOR HAVEN UNIT
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City | BATESVILLE
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State | AR
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Zip | 72501
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Country | US
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Telephone | 870-262-1223
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Fax | 870-262-1468
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Provider Business Mailing Address
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Address Line | 2519 WOODLAND BLUFF DR
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-6232
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Country | US
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Telephone | 501-362-6653
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1397-C
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License Number State | AR
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