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General NPI Number Information
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NPI Number | 1982795837
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Entity Type | Individual
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Provider Name | MARTIN ORRO DDS
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 915 W LANCASTER BLVD
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City | LANCASTER
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State | CA
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Zip | 93534-2305
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Country | US
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Telephone | 661-942-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 915 W LANCASTER BLVD
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City | LANCASTER
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State | CA
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Zip | 93534-2305
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Country | US
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Telephone | 661-942-1124
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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
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License Number | 29965
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License Number State | CA
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