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General NPI Number Information
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NPI Number | 1487856662
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Entity Type | Individual
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Provider Name | GIDEON ORBACH DC
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 2419 BALDWICK RD
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City | PITTSBURGH
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State | PA
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Zip | 15205-4139
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Country | US
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Telephone | 412-922-9355
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Fax | 703-922-9330
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Provider Business Mailing Address
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Address Line | 2516C WHARTON ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-5104
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Country | US
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Telephone | 646-641-3650
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Fax | 703-997-6203
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104555980
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC008706
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X010410
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License Number State | NY
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