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General NPI Number Information
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NPI Number | 1316082050
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Entity Type | Individual
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Provider Name | CHRISTOPHER J ORAVITZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 25 E M 55
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City | TAWAS CITY
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State | MI
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Zip | 48763-9362
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Country | US
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Telephone | 989-362-2540
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Fax | 989-362-7290
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Provider Business Mailing Address
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Address Line | 25 E M 55
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City | TAWAS CITY
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State | MI
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Zip | 48763-9362
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Country | US
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Telephone | 989-362-2540
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Fax | 989-362-7290
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | CO060262
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License Number State | MI
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