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General NPI Number Information
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NPI Number | 1366412975
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Entity Type | Individual
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Provider Name | LISA A OROZCO WHCNP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 1921 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-1904
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Country | US
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Telephone | 612-874-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 JERSEY AVE N
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City | CRYSTAL
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State | MN
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Zip | 55427-2265
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Country | US
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Telephone | 612-874-9875
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R134606-4
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License Number State | MN
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