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General NPI Number Information
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NPI Number | 1265950661
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Entity Type | Organization
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Legal Business Name | INTEGRITY PROSTHETICS AND ORTHOTICS, LLC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 135 1ST STREET SOUTH
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City | WINTER HAVEN
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State | FL
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Zip | 33880
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Country | US
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Telephone | 863-937-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-2218
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Country | US
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Telephone | 863-937-9200
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Fax | 863-937-9199
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Authorized Official
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Title or Position | OFFICER/OWNER
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Name | MR. CLARENCE E CROWE II
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Credential | CP
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Telephone | 863-937-9200
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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 | PRO60
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License Number State | FL
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