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General NPI Number Information
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NPI Number | 1336275940
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Entity Type | Organization
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Legal Business Name | PREMIER ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16307 PAYTON CT
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City | TAMPA
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State | FL
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Zip | 33647-2766
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Country | US
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Telephone | 813-814-4122
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Fax | 813-814-4144
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Provider Business Mailing Address
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Address Line | 16307 PAYTON CT
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City | TAMPA
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State | FL
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Zip | 33647-2766
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Country | US
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Telephone | 813-814-4122
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Fax | 813-814-4144
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Authorized Official
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Title or Position | FINANCE ASSOCIATE
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Name | MRS. DIANE DEBOOR
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Credential |
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Telephone | 813-814-4122
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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 | 131950.0000
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License Number State | FL
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