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General NPI Number Information
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NPI Number | 1932383585
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Entity Type | Individual
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Provider Name | MR. MATTHEW STEPHEN ORAVITZ
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Gender | Male
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 6100 PLUMAS ST STE 201
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City | RENO
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State | NV
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Zip | 89519-6064
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Country | US
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Telephone | 610-390-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 PLUMAS ST 201
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City | RENO
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State | NV
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Zip | 89519-6058
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Country | US
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Telephone | 610-390-1111
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2928
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License Number State | NV
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