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General NPI Number Information
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NPI Number | 1407844020
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Entity Type | Individual
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Provider Name | MICHAEL V ORLOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 736 CAMBRIDGE ST CARDIOLOGY SUITE 4TH FL CCP
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City | BRIGHTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-789-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 736 CAMBRIDGE ST
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City | BRIGHTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-789-3187
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Fax | 617-789-5029
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 157168
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 157168
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License Number State | MA
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