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General NPI Number Information
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NPI Number | 1831758606
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Entity Type | Individual
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Provider Name | DAVID ORSMOND MS, PT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 163 NORTHPORT AVE
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City | BELFAST
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State | ME
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Zip | 04915-6192
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Country | US
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Telephone | 207-505-4584
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WILLOW ST
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City | CAMDEN
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State | ME
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Zip | 04843-1824
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Country | US
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Telephone | 207-706-6009
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2772
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License Number State | ME
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