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General NPI Number Information
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NPI Number | 1093854580
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Entity Type | Organization
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Legal Business Name | ORTHOMOTION L.L.C.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 763 S NEW BALLAS RD SUITE 370
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8704
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Country | US
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Telephone | 314-994-7400
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Fax | 314-994-7401
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Provider Business Mailing Address
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Address Line | 763 S NEW BALLAS RD SUITE 370
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8704
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Country | US
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Telephone | 314-994-7400
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Fax | 314-994-7401
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MRS. LADONNA APPELBAUM
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Credential |
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Telephone | 314-994-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | LC0071981
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License Number State | MO
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