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General NPI Number Information
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NPI Number | 1376341982
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Entity Type | Organization
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Legal Business Name | ORLI HEALTH PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 345 7TH AVE STE 1601J
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City | NEW YORK
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State | NY
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Zip | 10001-5006
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Country | US
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Telephone | 312-912-4280
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Fax |
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Provider Business Mailing Address
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Address Line | 345 7TH AVE STE 1601J
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City | NEW YORK
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State | NY
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Zip | 10001-5006
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Country | US
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Telephone | 929-376-3003
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LACHAN BAND
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Credential | NP
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Telephone | 929-376-3003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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