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General NPI Number Information
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NPI Number | 1275369787
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Entity Type | Organization
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Legal Business Name | ORTHOSC, LLC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 103 PROFESSIONAL PARK DRIVE
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City | CONWAY
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State | SC
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Zip | 29526
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Country | US
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Telephone | 843-353-3460
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Fax | 843-353-3461
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Provider Business Mailing Address
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Address Line | 210 VILLAGE CENTER BLVD STE 140
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City | MYRTLE BEACH
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State | SC
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Zip | 29579-6706
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Country | US
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Telephone | 843-353-3460
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Fax | 843-353-3461
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | JENIFER EDELEN
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Credential |
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Telephone | 843-213-6149
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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 |
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License Number State |
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