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General NPI Number Information
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NPI Number | 1447495858
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Entity Type | Organization
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Legal Business Name | TOTAL ORTHOPEDICS LLC
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Dates
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Enumeration Date | 12/14/2008
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 283 N PECOS RD STE 100
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City | HENDERSON
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State | NV
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Zip | 89074-1918
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Country | US
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Telephone | 702-243-0028
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Fax | 702-252-4315
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Provider Business Mailing Address
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Address Line | 283 N PECOS RD STE 100
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City | HENDERSON
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State | NV
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Zip | 89074-1918
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Country | US
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Telephone | 702-243-0028
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Fax | 702-252-4315
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Authorized Official
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Title or Position | BUSINESS OPERATIONS DIRECTOR
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Name | AMANDA WILKINSON
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Credential |
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Telephone | 702-818-0446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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