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General NPI Number Information
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NPI Number | 1902040306
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Entity Type | Individual
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Provider Name | CHRISTOPHER DAVID ORR PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 08/04/2024
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Provider Practice Location Address
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Address Line | 1701 MENTOR AVE STE 10
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City | PAINESVILLE
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State | OH
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Zip | 44077-1459
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Country | US
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Telephone | 619-933-8590
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Fax | 440-579-0187
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Provider Business Mailing Address
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Address Line | 8030 HUMPHREY HILL DR
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-8738
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Country | US
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Telephone | 619-933-8590
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Fax | 440-579-0187
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20215
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.003532
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License Number State | OH
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