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General NPI Number Information
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NPI Number | 1649828930
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Entity Type | Organization
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Legal Business Name | ORNA AESTHETICS LLC
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 6735 CONROY RD STE 422
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City | ORLANDO
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State | FL
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Zip | 32835-3566
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Country | US
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Telephone | 407-925-7977
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Fax |
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Provider Business Mailing Address
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Address Line | 13413 POINTE CT
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City | ORLANDO
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State | FL
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Zip | 32828-8503
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Country | US
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Telephone | 407-925-7977
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Fax | 407-671-0032
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Authorized Official
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Title or Position | OWNER
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Name | DR. RENATA ORNA
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Credential | DO
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Telephone | 407-925-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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