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General NPI Number Information
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NPI Number | 1063398329
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Entity Type | Organization
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Legal Business Name | ORTHOLONESTAR, PLLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 963 STATE HIGHWAY 121 STE 1150
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City | ALLEN
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State | TX
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Zip | 75013-6034
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Country | US
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Telephone | 469-322-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PKWY STE 115
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City | AUSTIN
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State | TX
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Zip | 78759-5753
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Country | US
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Telephone | 346-440-0645
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Fax |
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Authorized Official
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Title or Position | VP QUALITY & REGULATROY AFFAIRS
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Name | JENNIFER KINMAN
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Credential |
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Telephone | 512-415-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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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