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General NPI Number Information
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NPI Number | 1891734570
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Entity Type | Individual
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Provider Name | DAN EVIATHAR ORRON MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 580 W COLLEGE AVE
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City | MARQUETTE
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State | MI
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Zip | 49855-2705
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Country | US
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Telephone | 906-225-7808
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Fax | 906-225-7818
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Provider Business Mailing Address
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Address Line | 2837 US 41 W
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City | MARQUETTE
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State | MI
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Zip | 49855-2252
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Country | US
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Telephone | 906-225-3964
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Fax | 906-226-3875
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME90963
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 4301079844
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036107517
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License Number State | IL
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