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NPI 1790868115

NPI 1790868115 : GARY D ORINGER DPM : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1790868115
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    Entity Type          |    Individual 
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    Provider Name        |    GARY D ORINGER DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/21/2006
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    Last Update Date     |    11/02/2020
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Provider Practice Location Address
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    Address Line         |    2416 NW 63RD ST 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33496-3626
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    Country              |    US
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    Telephone            |    917-476-2914
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    Fax                  |    561-367-3504
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Provider Business Mailing Address
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    Address Line         |    2416 NW 63RD ST 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33496-3626
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    Country              |    US
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    Telephone            |    917-476-2914
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    Fax                  |    561-367-3504
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    N03425
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    License Number State |    NY
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