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General NPI Number Information
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NPI Number | 1467387191
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Entity Type | Individual
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Provider Name | EVAN MICAH ORR-SIPOS LSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 951 MAIN ST
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City | HONESDALE
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State | PA
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Zip | 18431-1903
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Country | US
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Telephone | 570-280-6321
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Fax | 272-216-8433
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Provider Business Mailing Address
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Address Line | PO BOX 94
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City | LA PLUME
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State | PA
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Zip | 18440-0094
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW143922
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License Number State | PA
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