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General NPI Number Information
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NPI Number | 1295420479
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC TRAUMA CONSULTANTS, LLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1649 VICTORIA POINTE CIR
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City | WESTON
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State | FL
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Zip | 33327-1311
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Country | US
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Telephone | 954-812-1388
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Fax |
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Provider Business Mailing Address
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Address Line | 1649 VICTORIA POINTE CIR
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City | WESTON
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State | FL
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Zip | 33327-1311
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Country | US
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Telephone | 954-812-1388
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DR. BRIAN J CROSS
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Credential | DO
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Telephone | 954-812-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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