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General NPI Number Information
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NPI Number | 1417728775
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Entity Type | Organization
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Legal Business Name | SKY ORTHOPEDIC SOLUTIONS
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 802 AZALEA AVE
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City | SAN MARCOS
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State | CA
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Zip | 92078-5371
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Country | US
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Telephone | 520-903-8148
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Fax |
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Provider Business Mailing Address
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Address Line | 802 AZALEA AVE
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City | SAN MARCOS
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State | CA
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Zip | 92078-5371
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Country | US
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Telephone | 520-903-8148
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTINA BOYNOVA
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Credential |
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Telephone | 520-903-8148
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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 |
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License Number State |
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