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General NPI Number Information
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NPI Number | 1033553557
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Entity Type | Organization
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Legal Business Name | PRESTIGE ORTHOPEDICS
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1245 W FAIRBANKS AVE SUITE 350
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City | WINTER PARK
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State | FL
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Zip | 32789-7111
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Country | US
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Telephone | 877-941-0111
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Fax | 954-785-1191
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Provider Business Mailing Address
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Address Line | 1245 W FAIRBANKS AVE SUITE 350
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City | WINTER PARK
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State | FL
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Zip | 32789-7111
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Country | US
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Telephone | 877-941-0111
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Fax | 954-785-1191
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CINTIA MUNOZ
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Credential |
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Telephone | 561-686-6201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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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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