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General NPI Number Information
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NPI Number | 1942772926
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Entity Type | Individual
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Provider Name | PATRICK ORME
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Gender | Male
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Dates
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Enumeration Date | 01/01/2019
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Last Update Date | 01/01/2019
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Provider Practice Location Address
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Address Line | 76 NEALY BLVD # 92
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City | HAMPTON
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State | VA
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Zip | 23665-2022
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Country | US
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Telephone | 757-764-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 LAKEFRONT CMNS UNIT 404
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3465
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Country | US
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Telephone | 253-225-5819
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 60874702
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License Number State | WA
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