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General NPI Number Information
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NPI Number | 1396145819
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Entity Type | Individual
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Provider Name | MICHELLE ORELLI
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 9 E MAIN ST
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City | OYSTER BAY
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State | NY
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Zip | 11771-2440
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Country | US
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Telephone | 516-864-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 9 E MAIN ST
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City | OYSTER BAY
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State | NY
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Zip | 11771-2440
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Country | US
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Telephone | 516-864-2900
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Fax | 516-864-2902
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 60563668
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25190
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 037954
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License Number State | NY
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