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General NPI Number Information
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NPI Number | 1831480722
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Entity Type | Organization
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Legal Business Name | ORCHID MEDICAL, INC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 622 E WASHINGTON ST STE 500
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City | ORLANDO
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State | FL
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Zip | 32801-2975
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Country | US
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Telephone | 866-888-6724
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Fax | 866-246-8587
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Provider Business Mailing Address
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Address Line | PO BOX 560370
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City | ORLANDO
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State | FL
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Zip | 32856-0370
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Country | US
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Telephone | 866-888-6724
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Fax | 866-246-8587
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN L CARWILE
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Credential |
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Telephone | 407-893-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1313718
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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