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General NPI Number Information
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NPI Number | 1154006815
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE ORTHOPEDIC CLINIC III, PL
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 7540 W UNIVERSITY AVE
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City | GAINESVILLE
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State | FL
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Zip | 32607-7609
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Country | US
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Telephone | 813-978-9700
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Fax | 813-558-6186
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Provider Business Mailing Address
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Address Line | 3334 CAPITAL MEDICAL BLVD STE 400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4470
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Country | US
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Telephone | 850-877-8174
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Fax | 844-261-6839
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | LORI J CARTER
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Credential |
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Telephone | 850-219-1925
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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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