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General NPI Number Information
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NPI Number | 1326286287
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Entity Type | Organization
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Legal Business Name | ORR LIMPISVASTI MD INC
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 351 ROLLING OAKS DR STE 104
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1275
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Country | US
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Telephone | 310-895-7153
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Fax | 310-651-9632
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Provider Business Mailing Address
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Address Line | 351 ROLLING OAKS DR STE 104
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1275
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Country | US
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Telephone | 310-895-7153
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Fax | 310-651-9632
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORR LIMPISVASTI
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Credential | M.D.
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Telephone | 310-895-7153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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