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General NPI Number Information
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NPI Number | 1013553080
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Entity Type | Organization
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Legal Business Name | PRECISION ORTHOPEDIC SPECIALISTS, PLLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 201 4TH AVE E STE 4
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City | BRADENTON
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State | FL
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Zip | 34208-1043
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Country | US
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Telephone | 941-226-8844
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Fax | 941-226-8845
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Provider Business Mailing Address
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Address Line | 201 4TH AVE E STE 4
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City | BRADENTON
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State | FL
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Zip | 34208-1043
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Country | US
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Telephone | 941-226-8844
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Fax | 941-226-8845
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MICHAEL RETINO
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Credential | DO
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Telephone | 941-226-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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