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General NPI Number Information
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NPI Number | 1073475679
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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 | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 26400 KUYKENDAHL RD STE A250
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City | TOMBALL
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State | TX
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Zip | 77375-2984
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Country | US
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Telephone | 281-407-5092
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Fax | 833-764-5063
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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 |
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Fax |
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Authorized Official
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Title or Position | VP QUALITY & REGULATORY AFFAIRS
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Name | JENNIFER KINMAN
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Credential |
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Telephone | 346-447-9004
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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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