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General NPI Number Information
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NPI Number | 1205805165
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC CENTER OF OKEECHOBEE, PA
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 09/29/2014
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Provider Practice Location Address
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Address Line | 1920 HIGHWAY 441 N
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1922
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Country | US
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Telephone | 863-763-8100
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Fax | 863-763-8669
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Provider Business Mailing Address
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Address Line | 1920 HIGHWAY 441 N
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1922
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Country | US
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Telephone | 863-763-8100
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Fax | 863-763-8669
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MS. RITA F. STRIEBEL
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Credential |
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Telephone | 863-763-8100
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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 | ME 0064131
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License Number State | FL
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