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General NPI Number Information
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NPI Number | 1386091676
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Entity Type | Individual
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Provider Name | CARLO ROBERTO OROZCO FNP-C
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Gender | Male
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 212 S 11TH ST STE 1
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4000
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Country | US
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Telephone | 208-243-9395
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Fax | 208-668-8213
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Provider Business Mailing Address
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Address Line | 212 S 11TH ST STE 1
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City | COEUR D'ALENE
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State | ID
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Zip | 83814-4000
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Country | US
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Telephone | 208-243-9395
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Fax | 951-466-2426
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61360767
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 65298
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61360767
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP65298
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 65298
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95004065
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 65298
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License Number State | ID
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