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General NPI Number Information
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NPI Number | 1598979817
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Entity Type | Individual
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Provider Name | JIM A. ORSINI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 5220 STUDER RD
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City | LITTLE ROCK
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State | AR
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Zip | 72223-9662
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Country | US
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Telephone | 501-690-1623
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Fax |
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Provider Business Mailing Address
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Address Line | 5326 W MARKHAM ST STE. 15
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3528
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Country | US
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Telephone | 501-664-6186
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Fax | 501-664-6187
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2456
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License Number State | AR
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