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General NPI Number Information
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NPI Number | 1932233913
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Entity Type | Individual
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Provider Name | WILLIAM JOESPH ORLOWSKY CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 435 LEWIS AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2101
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Country | US
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Telephone | 203-694-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 136 WINESAP RD
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City | KENSINGTON
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State | CT
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Zip | 06037-2900
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Country | US
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Telephone | 860-828-0003
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 000305
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License Number State | CT
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