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General NPI Number Information
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NPI Number | 1366263725
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Entity Type | Organization
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Legal Business Name | RECOUP ORTHOPAEDIC AND SPINE CARE
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1317 EDGEWATER DR # 5604
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 336-327-4816
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 SHANNON OXMOOR RD # 469
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City | SHANNON
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State | AL
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Zip | 35142-2000
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Country | US
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Telephone | 205-999-6855
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | CRISTIAN ARCEO
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Credential |
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Telephone | 205-999-6855
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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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