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General NPI Number Information
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NPI Number | 1437434230
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Entity Type | Individual
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Provider Name | JESSICA ROSS ORR
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Gender | Female
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 4408 CLEARWOOD DR
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City | SPARKS
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State | NV
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Zip | 89436-6363
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Country | US
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Telephone | 775-229-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 8850 LIMNOL ST
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City | RENO
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State | NV
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Zip | 89506-8721
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Country | US
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Telephone | 775-962-1223
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Fax |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 103R00000X
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License Number State | NV
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