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General NPI Number Information
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NPI Number | 1962407379
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Entity Type | Individual
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Provider Name | ANGELA MARIE FANIZZA-ORPHANOS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 5400 KENNEDY AVENUE
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City | CINCINNATI
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State | OH
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Zip | 45213
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Country | US
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Telephone | 513-281-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 KENNEDY AVENUE
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City | CINCINNATI
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State | OH
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Zip | 45213
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Country | US
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Telephone | 513-281-3400
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5119
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 33527
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-4300
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 044061
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME95593
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-110099
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01039038
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 24780
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D60524
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License Number State | MD
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301075651
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License Number State | MI
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2004034151
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License Number State | MO
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Taxonomy #12
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 228827
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License Number State | NY
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Taxonomy #13
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-059679F
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License Number State | OH
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Taxonomy #14
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5832
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License Number State | SD
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