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General NPI Number Information
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NPI Number | 1851665442
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Entity Type | Organization
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Legal Business Name | DR. JOHN R. ORR III
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 316 VALLEY RD
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City | FAIRFIELD
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State | AL
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Zip | 35064-2222
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Country | US
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Telephone | 205-755-3179
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Fax | 205-785-3257
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Provider Business Mailing Address
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Address Line | 316 VALLEY RD
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City | FAIRFIELD
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State | AL
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Zip | 35064-2222
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Country | US
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Telephone | 205-755-3179
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Fax | 205-785-3257
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOHN R ORR III
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Credential | D.M.D.P.C.
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Telephone | 205-785-3179
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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 | 3533
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License Number State | AL
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