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General NPI Number Information
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NPI Number | 1194967117
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDICS LIMITED
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 3418 LOMA VISTA RD STE B
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City | VENTURA
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State | CA
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Zip | 93003-3065
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Country | US
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Telephone | 805-643-3034
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Fax | 805-643-3094
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Provider Business Mailing Address
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Address Line | 3418 LOMA VISTA RD STE B
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City | VENTURA
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State | CA
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Zip | 93003-3065
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Country | US
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Telephone | 805-643-3034
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Fax | 805-643-3094
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | ANNETTE JANE CORTEZ
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Credential |
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Telephone | 805-857-0777
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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 | C38741
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License Number State | CA
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