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General NPI Number Information
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NPI Number | 1487740056
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Entity Type | Organization
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Legal Business Name | GORION SERVICES INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 303 ISLE OF SKY CIR
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City | ORLANDO
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State | FL
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Zip | 32828-8531
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Country | US
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Telephone | 407-325-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 303 ISLE OF SKY CIR
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City | ORLANDO
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State | FL
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Zip | 32828-8531
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Country | US
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Telephone | 407-325-4602
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. EDILBERTO DEIPARINE GORION
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Credential | P.T.
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Telephone | 407-325-4602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7065
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License Number State | FL
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