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General NPI Number Information
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NPI Number | 1265638977
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Entity Type | Organization
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Legal Business Name | ORTHOSTAT, CORP.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 610 SYCAMORE ST STE 130
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City | CELEBRATION
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State | FL
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Zip | 34747-4984
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Country | US
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Telephone | 877-606-7846
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Fax | 407-816-5893
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Provider Business Mailing Address
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Address Line | 610 SYCAMORE ST STE 130
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City | CELEBRATION
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State | FL
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Zip | 34747-4984
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Country | US
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Telephone | 877-606-7846
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Fax | 407-816-5893
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARITZA MILAGROS MEDRANO
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Credential |
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Telephone | 321-939-3244
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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 | 1313371
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License Number State | FL
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