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General NPI Number Information
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NPI Number | 1558344242
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Entity Type | Individual
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Provider Name | DIANE ORLOV N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 832 W CENTRAL BLVD
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City | ORLANDO
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State | FL
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Zip | 32805-1809
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Country | US
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Telephone | 407-723-4239
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Fax | 407-845-6119
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Provider Business Mailing Address
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Address Line | 6101 LAKE ELLENOR DR
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City | ORLANDO
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State | FL
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Zip | 32809-4616
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Country | US
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Telephone | 407-723-5029
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Fax | 407-858-5523
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN-241877
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9490972
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License Number State | FL
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