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General NPI Number Information
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NPI Number | 1013289842
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Entity Type | Organization
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Legal Business Name | INNOVATIVE ORTHO SOLUTIONS INC
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | CRISTAL 25 PASEO SANTA BARBARA
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-919-2111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6235
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City | CAGUAS
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State | PR
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Zip | 00726-6235
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Country | US
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Telephone | 787-745-4201
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BENITO A PADILLA
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Credential |
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Telephone | 787-919-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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