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General NPI Number Information
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NPI Number | 1144210378
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Entity Type | Organization
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Legal Business Name | BIOMATRIX ORTHOPEDICS LLC
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1116 E. BIG BEAVER RD.
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City | TROY
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State | MI
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Zip | 48083
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Country | US
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Telephone | 586-773-1400
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Fax | 586-773-6062
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Provider Business Mailing Address
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Address Line | 1116 E. BIG BEAVER RD.
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City | TROY
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State | MI
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Zip | 48083
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Country | US
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Telephone | 586-773-1400
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Fax | 586-773-6062
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JON CHRISTOPHER WILLIAMS
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Credential |
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Telephone | 248-470-5486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | C26313
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CO002312
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License Number State | MI
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Taxonomy #3
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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 | MI
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