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General NPI Number Information
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NPI Number | 1427197813
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Entity Type | Individual
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Provider Name | ELMO NAZARENO ORLINO SR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3166
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Country | US
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Telephone | 626-458-4792
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Fax |
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Provider Business Mailing Address
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Address Line | 310 MORGAN RANCH RD
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City | GLENDORA
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State | CA
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Zip | 91741-6436
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Country | US
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Telephone | 626-963-8054
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Fax | 626-963-8043
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A30681
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License Number State | CA
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