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General NPI Number Information
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NPI Number | 1467195057
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Entity Type | Organization
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Legal Business Name | BONE AND JOINT SURGICAL SUITES, LLC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 5115 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1323
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Country | US
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Telephone | 863-381-8157
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 US HIGHWAY 27 N STE 220
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City | SEBRING
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State | FL
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Zip | 33870-1323
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Country | US
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Telephone | 863-593-7207
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JUAN CARLOS ALVAREZ
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Credential | MD
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Telephone | 863-385-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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