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General NPI Number Information
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NPI Number | 1376661868
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Entity Type | Organization
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Legal Business Name | INTEGRAL ORTHOPEDICS INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 302 NW 179TH AVE SUITE 201
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2818
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Country | US
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Telephone | 954-885-0199
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Fax | 954-885-0399
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Provider Business Mailing Address
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Address Line | 302 NW 179TH AVE SUITE 201
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2818
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Country | US
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Telephone | 954-885-0199
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Fax | 954-885-0399
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Authorized Official
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Title or Position | CEO
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Name | JAMES BRIAN TUFFIN
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Credential |
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Telephone | 954-885-0199
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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 | 1313222
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License Number State | FL
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