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General NPI Number Information
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NPI Number | 1801095070
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Entity Type | Individual
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Provider Name | MANDY ROBIN ORFUS DDS MS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 303 HUNTERS TRAIL ST
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City | HOUSTON
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State | TX
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Zip | 77024-6901
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Country | US
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Telephone | 713-468-7823
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Fax |
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Provider Business Mailing Address
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Address Line | 12320 BARKER CYPRESS RD SUITE 700
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City | CYPRESS
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State | TX
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Zip | 77429-8325
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Country | US
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Telephone | 281-225-6784
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 19178
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License Number State | TX
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