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General NPI Number Information
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NPI Number | 1497817910
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Entity Type | Individual
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Provider Name | CHERI ORNDORF MED, ATC-L
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 701 MOORE AVE
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City | LEWISBURG
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State | PA
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Zip | 17837-2010
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Country | US
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Telephone | 570-577-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 701 MOORE AVE
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City | LEWISBURG
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State | PA
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Zip | 17837-2010
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Country | US
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Telephone | 570-577-2264
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00105700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RTO000115
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License Number State | PA
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