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General NPI Number Information
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NPI Number | 1396723979
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Entity Type | Individual
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Provider Name | BRIAN J ORICOLI M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | RIVER VALLEY CAMPUS 2384 N. MEMORIAL DRIVE
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City | LANCASTER
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State | OH
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Zip | 43130
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Country | US
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Telephone | 749-689-4935
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Fax | 740-689-4889
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Provider Business Mailing Address
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Address Line | 1153 E MAIN ST PO BOX 2563
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City | LANCASTER
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State | OH
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Zip | 43130-4056
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Country | US
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Telephone | 740-687-8990
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Fax | 740-687-8230
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 35.076931
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35.076931
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License Number State | OH
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